Individual provider Active NPI

Kayla Newsom

  • Professional Counselor
  • Norton, VA
National Provider Identifier
1043935828
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011794 Issued in VA
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

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 6709224710, 6 clinicians

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

LicenseStateTypeSpecialty
0701011794VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Counseling Group, LLC Professional CurrentSince Feb 5, 2024 Accepting new patients
Health Connect America, Inc CurrentSince Oct 9, 2022 Accepting new patients
Health Connect America, Inc CurrentSince Oct 9, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.