Active NPI
Timothy Mark Newton, MA LPA
- Professional Counselor
- Wake Forest, NC
National Provider Identifier
1073624235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1414
- Practice address
- 1725 South Main Street
Suite 202
Wake Forest, NC 27587 - Phone
- (919) 556-6501
- Fax
- (919) 556-4933
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1414 | NC | |
| Professional Counselor | 101YP2500X | 1414 | NC | Primary |
Addresses
Primary practice location
1725 South Main Street
Suite 202
Wake Forest, NC 27587
Mailing address
PO Box #168
Creedmoor, NC 27522
Phone (919) 529-1554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107373 | Medicaid | NC | |
| 8497 | Other | NC | FIVE COUNTY MENTAL HEALTH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1414 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073624235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX #168",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "27522",
"telephone_number": "919-529-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 SOUTH MAIN STREET",
"address_2": "SUITE 202",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "27587",
"telephone_number": "919-556-6501",
"fax_number": "919-556-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "TIMOTHY",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MA LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "1414",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "1414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107373",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIVE COUNTY MENTAL HEALTH",
"identifier": "8497",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
- Neuro Community Care
- New Path Consultations, LLC
- Christina Theresa Newman, AGPCNP - BC
- Justice Divine Newsome, COTA/L
- Launiece D Newton, AGPCNP-C, PMHNP-BC
- Eunice Wanjiru Ngumba-Gatabaki, PHD
- Nguyen & Nguyen Dentistry Partnership (Gentle Family Dentistry)
- Nguyen and Mulnick PLLC (Gentle Family Dentisitry)
- CHI Minh Nguyen, PA
- Tran Minhthi Nguyen, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.