Tylette Newkirk, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5655 Issued in SC

Practice address

362 Featheredge Rd
Elgin, SC 29045-9858

Phone

(803) 258-0178

NPI assigned

Jan 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crowns for Queens

  • Professional Counselor
  • Elgin, SC
  • NPI 1376111070
  NPD Authorized official
• Yana Counseling Services, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1457859761
  NPD

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1154693679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD STE 166",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-258-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 FEATHEREDGE RD",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459858",
            "telephone_number": "803-258-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "TYLETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1792",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Moore
• Sudhakar Reddy Morthala, M.D.
• Nested House Counseling Services
• Net Services
• New Horizons Intervention Services. LLC
• Sarah Angela Odom, R.N.
• Stella Okeke
• One Accord Counseling, LLC
• Opulent Home Care Services
• Rich Hong Pak, FNP

• Professional Counselor in Elgin, SC
• Providers in Elgin, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.