Active NPI
Nicole Joelle Newsome, LPCC-S
- Professional Counselor
- Columbus, OH
National Provider Identifier
1245328921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0004105
- Practice address
- 1335 Dublin Rd
Suite 212C
Columbus, OH 43215-1000 - Phone
- (614) 437-9910
- Fax
- (614) 453-5975
- NPI assigned
- Oct 10, 2006
- Last updated
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0004105 | OH | Primary |
Addresses
Primary practice location
1335 Dublin Rd
Suite 212C
Columbus, OH 43215-1000
Mailing address
1335 Dublin Rd
Suite 212C
Columbus, OH 43215-1000
Phone (614) 437-9910
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0004105 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Wellness Center, LTD. | Professional | Past | Accepting new patients |
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1245328921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 DUBLIN RD",
"address_2": "SUITE 212C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151000",
"telephone_number": "614-437-9910",
"fax_number": "614-453-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 DUBLIN RD",
"address_2": "SUITE 212C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151000",
"telephone_number": "614-437-9910",
"fax_number": "614-453-5975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "NICOLE",
"middle_name": "JOELLE",
"name_prefix": "Mrs.",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0004105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.