Individual provider Active NPI

Melissa Jean Newborn, LPC, LCADC

  • Mental Health Counselor
  • Columbus, NJ
National Provider Identifier
1104491182
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00352600 Issued in NJ
Practice address
7 N Hockey Dr
Columbus, NJ 08022-9502
Phone
(609) 577-7616
NPI assigned
May 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00215500 NJ
Mental Health Counselor 101YM0800X 37PC00352600 NJ Primary

Addresses

Primary practice location

7 N Hockey Dr
Columbus, NJ 08022-9502

Mailing address

7 N Hockey Dr
Columbus, NJ 08022-9502
Phone (609) 577-7616

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

State licenses

LicenseStateTypeSpecialty
37LC00215500NJMDAddiction (Substance Use Disorder) Counselor
37PC00352600NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1104491182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N HOCKEY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229502",
            "telephone_number": "609-577-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N HOCKEY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229502",
            "telephone_number": "609-577-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBORN",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00215500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00352600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.