Active NPI
Dwight Wilson Newell, LPC-S
- Professional Counselor
- Pflugerville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91168
- Practice address
- 2911 A W Grimes Blvd Ste 330
Pflugerville, TX 78660-1979 - Phone
- (512) 883-7112
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 813 | MS | |
| Professional Counselor | 101YP2500X | 91168 | TX | Primary |
Addresses
Primary practice location
2911 A W Grimes Blvd Ste 330
Pflugerville, TX 78660-1979
Mailing address
15465 Oak LN Ste 100I
Gulfport, MS 39503-2663
Phone (855) 939-6634
Other practice location 1
15465 Oak Ln Ste 100I
Gulfport, MS 39503-2663
Phone (855) 939-6634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 A W Grimes Blvd
Suite 330
Pflugerville, TX 78660-1979
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91168 | TX | MD | Professional Counselor |
| 813 | MS | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
2911 A W Grimes Blvd
Ste 330
Pflugerville, TX 78660
Phone (512) 649-2270
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": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1548991375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15465 OAK LN STE 100I",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032663",
"telephone_number": "855-939-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 A W GRIMES BLVD STE 330",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786601979",
"telephone_number": "512-883-7112"
}
],
"practiceLocations": [
{
"address_1": "15465 Oak Ln Ste 100I",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395032663",
"country_code": "US",
"telephone_number": "855-939-6634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWELL",
"first_name": "DWIGHT",
"middle_name": "WILSON",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "813",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.