Individual provider Active NPI

Carole Welling Newkirk, M.A., LMHC, NCC, CRC

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1437422276
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5967 Issued in FL
Practice address
306 W Sadie St
Brandon, FL 33510-4440
Phone
(813) 438-5949
Fax
(813) 438-5951
NPI assigned
Feb 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5967 FL Primary

Addresses

Primary practice location

306 W Sadie St
Brandon, FL 33510-4440

Mailing address

306 W Sadie St
Brandon, FL 33510-4440
Phone (813) 438-5949

Other identifiers 1

IdentifierTypeStateIssuer
MH5967OtherFLSTATE OF FLORIDA

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
MH5967FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camille Mabin, LCSW LLC PastSince Sep 25, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1437422276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "CAROLE",
        "middle_name": "WELLING",
        "name_prefix": "Mrs.",
        "credential": "M.A., LMHC, NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "MH5967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.