Active NPI
Kayla Newsom
- Professional Counselor
- Norton, VA
National Provider Identifier
1043935828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011794
- Practice address
- 620 Park Ave NW
Norton, VA 24273-1922 - Phone
- (276) 644-7690
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011794 | VA | Primary |
Addresses
Primary practice location
620 Park Ave NW
Norton, VA 24273-1922
Mailing address
234 Morning Glory LN
MC Roberts, KY 41835-8954
Phone (606) 634-3909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424001180 | VA | Practitioner - Mental Health Counselor | 8224478219 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Propel Counseling Group, LLC
Practice addresses (Care Compare)
203 Chase St
Clintwood, VA 24228-2030
Phone (276) 219-3237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011794 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propel Counseling Group, LLC | Professional | Current | Accepting new patients |
| Health Connect America, Inc | Current | Accepting new patients | |
| Health Connect America, Inc | Current | Accepting new patients |
Locations
203 Chase St
Clintwood, VA 24228
Phone (276) 219-3237
620 Park Ave NW
Norton, VA 24273
Phone (276) 644-7690
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/healthconnectamerica/r4/
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Norton, VA
- NPI 1306566294
-
- Community/Behavioral Health Agency
- Norton, VA
- NPI 1952072274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1043935828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 MORNING GLORY LN",
"city": "MC ROBERTS",
"state": "KY",
"postal_code": "418358954",
"telephone_number": "606-634-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 PARK AVE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731922",
"telephone_number": "276-644-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOM",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.