Individual provider Active NPI

Belinda Ann Newsom, SUDCC

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1033856984
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12160 Issued in CA
Practice address
3491 Kurtz St Ste 150
San Diego, CA 92110-4430
Phone
(619) 320-2404
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Case Manager/Care Coordinator 171M00000X CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 12160 CA Primary

Addresses

Primary practice location

3491 Kurtz St Ste 150
San Diego, CA 92110-4430

Mailing address

3491 Kurtz St Ste 150
San Diego, CA 92110-4430
Phone (619) 320-2404

Other practice location 1

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
Phone (619) 691-8164

Other practice location 2

1750 5th Ave
San Diego, CA 92101-2754
Phone (619) 515-2588

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
12160CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego Inc PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1033856984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 KURTZ ST STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104430",
            "telephone_number": "619-320-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 KURTZ ST STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104430",
            "telephone_number": "619-320-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201651",
            "country_code": "US",
            "telephone_number": "619-691-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921012754",
            "country_code": "US",
            "telephone_number": "619-515-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "BELINDA",
        "middle_name": "ANN",
        "credential": "SUDCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.