Individual provider Active NPI

Jason E Newsome, PHD

  • Professional Counselor
  • Charleston, WV
National Provider Identifier
1609015999
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1937 Issued in WV
Practice address
2390 Kanawha State Forest Dr
Charleston, WV 25314-9080
Phone
(304) 415-2410
Fax
(855) 314-6877
NPI assigned
Feb 11, 2009
Last updated
Nov 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1937 WV Primary

Addresses

Primary practice location

2390 Kanawha State Forest Dr
Charleston, WV 25314-9080

Mailing address

PO Box 8880
South Charleston, WV 25303
Phone (304) 415-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20260121000513 WV Practitioner - Mental Health Counselor 9739666868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

351 New River Ranch
Rd. 178
Fayetteville, WV 25840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1937WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New River Ranch Inc CurrentSince Nov 4, 2025 Accepting new patients
Newsome Counseling and Consulting LLC Professional Past Accepting new patients

Locations

351 New River Ranch Dr
Fayetteville, WV 25840
Phone (304) 574-1058

Organizations & group practices 2

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414800000000",
    "number": "1609015999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8880",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25303",
            "telephone_number": "304-415-2410",
            "fax_number": "855-314-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 KANAWHA STATE FOREST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253149080",
            "telephone_number": "304-415-2410",
            "fax_number": "855-314-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "JASON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2014-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.