New Age Consultation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW AGE CONSULTATION

Doing business as

New Age Therapy

Practice address

1389 W Maple Ave Apt C4
Adrian, MI 49221-1354

Phone

(574) 855-0009

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Izayah T Newsom, LLPCNPI 1437818374

Title

Owner

Phone

(574) 855-0009

Specialties & licenses 1

Addresses

Other names 1

• New Age Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Izayah Newsom, MA

  • Mental Health Counselor
  • Adrian, MI
  • NPI 1437818374
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1073262036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 W MAPLE AVE APT C4",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211354",
            "telephone_number": "574-855-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W MAPLE AVE APT C4",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211354",
            "telephone_number": "574-855-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "IZAYAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-855-0009",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Myers, RN
• Trevor Myers, DPT
• Smita Nagpal, PH.D.
• Rebecca Anne Neal
• Rachael Marie Nelson
• Alicia Ellen Newsom
• Izayah Newsom, MA
• Alexander Newsome, LLMSW
• Caroline Doll Newsome
• Holly Marie Nichelson, APRN, CFNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Adrian, MI
• Providers in Adrian, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.