Individual provider Active NPI

Chrystie Tyler Newell, COUNSELOR

  • Counselor
  • Tallahassee, FL
National Provider Identifier
1023238003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2241 Issued in FL
Practice address
616 Universal Dr
Tallahassee, FL 32303-4787
Phone
(850) 385-1839
Fax
(850) 386-8371
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2241 FL Primary

Addresses

Primary practice location

616 Universal Dr
Tallahassee, FL 32303-4787

Mailing address

1797 Ox Bottom Rd
Tallahassee, FL 32312-3531
Phone (850) 509-2490

Other identifiers 1

IdentifierTypeStateIssuer
2241OtherFLLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2241FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Kelch MD PA PastSince Jan 1, 2001 Accepting new patients
John Ness MD PA PastSince Jan 1, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023238003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 OX BOTTOM RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123531",
            "telephone_number": "850-509-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 UNIVERSAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034787",
            "telephone_number": "850-385-1839",
            "fax_number": "850-386-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "CHRYSTIE",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.