Individual provider Active NPI

Hallie Newsome

  • Professional Counselor
  • Berlin Heights, OH
National Provider Identifier
1073869335
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0600265 Issued in OH
Practice address
11311 Andress Rd
Berlin Heights, OH 44814-9594
Phone
(440) 225-5519
NPI assigned
Jul 24, 2012
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0600265 OH
Professional Counselor 101YP2500X C0600265 OH Primary

Addresses

Primary practice location

11311 Andress Rd
Berlin Heights, OH 44814-9594

Mailing address

11311 Andress Rd
Berlin Heights, OH 44814-9594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240522002209 OH Practitioner - Mental Health Counselor 5991147902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Counseling LLCGroup PAC ID 0648575480, 4 clinicians

Practice addresses (Care Compare)

1839 Pearl Rd
Suite 101
Brunswick, OH 44212-3256
Phone (330) 220-9679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0600265OHMDMental Health Counselor
C0600265OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Counseling, LLC Mental Health CurrentSince Apr 9, 2024 Accepting new patients

Locations

1839 Pearl Rd
Ste 101
Brunswick, OH 44212
Phone (212) 273-8555

30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1073869335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 ANDRESS RD",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448149594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 ANDRESS RD",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448149594",
            "telephone_number": "440-225-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "HALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0600265",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0600265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin Heights, OH

Sources for this page

Verify at the official NPI Registry.