Active NPI
Carolyn Berg Newsome, M.A.
- Marriage & Family Therapist
- Phoenix, AZ
National Provider Identifier
1427354851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT10248
- Practice address
- 2060 W.Whispering Wind Drive
Phoenix, AZ 85085 - Phone
- (623) 551-4331
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT10248 | AZ | Primary |
Addresses
Primary practice location
2060 W.Whispering Wind Drive
Phoenix, AZ 85085
Mailing address
1732 W Mohawk LN
Phoenix, AZ 85027-3511
Phone (623) 780-9904
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT10248 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1427354851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 W MOHAWK LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273511",
"telephone_number": "623-780-9904",
"fax_number": "928-684-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 W.WHISPERING WIND DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85085",
"telephone_number": "623-551-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "CAROLYN",
"middle_name": "BERG",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT10248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.