NPIMap

Individual provider Active NPI

Rita Antonia Newell, MA, LLPC

  • Mental Health Counselor
  • Eureka, CA
National Provider Identifier
1154690485
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15005 Issued in CA
Practice address
124 Indianola Rd
Eureka, CA 95503-9403
Phone
(707) 267-7812
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012163 MI
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X 15005 CA Primary

Addresses

Primary practice location

124 Indianola Rd
Eureka, CA 95503-9403

Mailing address

124 Indianola Rd
Eureka, CA 95503-9403
Phone (707) 267-7812

Other practice location 1

3810 Packard St
Suite 250
Ann Arbor, MI 48108-2054
Phone (734) 929-6509

Other names 1

  • Miss Rita Antonia Rivera Former name

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

LicenseStateTypeSpecialty
6401012163MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sorrel Leaf Healing Center Inc CurrentSince Oct 1, 2023 Accepting new patients
P O W E R People Organized Working Evolving Reaching Past Accepting new patients

Organizations & group practices 2

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1154690485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 INDIANOLA RD",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955039403",
            "telephone_number": "707-267-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 INDIANOLA RD",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955039403",
            "telephone_number": "707-267-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Packard St",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082054",
            "country_code": "US",
            "telephone_number": "734-929-6509",
            "fax_number": "734-929-6553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "RITA",
        "middle_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012163",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "15005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "RIVERA",
            "middle_name": "ANTONIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.