Autumn L Newby, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017035087 Issued in MO

Practice address

1804 Heriford Rd
Columbia, MO 65202-1942

Phone

(573) 639-1094

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooke and Associates Counseling Company, LLCGroup PAC ID 3476902750, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Brooke & Associates Counseling Company, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1770099137

  MO

  Medicare reassignment Care Compare group NPD
• Melissa M Williams Licensed Counselor

  • Professional Counselor
  • Columbia, MO
  • NPI 1346671690

  Professional

  NPD
• Melissa M Williams Licensed Counselor, LLC

  • Professional Counselor
  • Columbia, MO
  • NPI 1891451829

  Professional

  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1295331007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 UPLAND CREEK RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016786",
            "telephone_number": "816-352-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HERIFORD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021942",
            "telephone_number": "573-639-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "AUTUMN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017035087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nevins
• New Day Counseling Center, LLC
• New Hope Homes LLC
• New Village Midwives LLC
• Stephen Michael Newberry, PA-C
• Victoria Danielle Newcom, APRN, FNP
• Geoffrey Daniel Newcomb, M.D.
• Megan Newman
• Leah Newmark, RD, LD
• Douglas Eugene Newson, NNP

• All providers in Columbia, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.