NPIMap

Organization Active NPI

Linda Newsome LCSW & Associates PA

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1629044250
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LINDA NEWSOME LCSW & ASSOCIATES PA
Practice address
403 Airle Place
Goldsboro, NC 27534-9436
Phone
(919) 739-9992
Fax
(919) 739-9993
NPI assigned
Feb 24, 2006
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Mitch Ivey
Title
President-Professional Data Managme
Phone
(919) 751-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

403 Airle Place
Goldsboro, NC 27534-9436

Mailing address

2501 B Wayne Memorial Dr
Goldsboro, NC 27534-9436
Phone (919) 739-9992

Other identifiers 4

IdentifierTypeStateIssuer
6005226MedicaidNC
200179438001OtherNCCHAMPUS
6005228MedicaidNC
016N4OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

2501 Wayne Memorial Dr
Ste B
Goldsboro, NC 27534

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1629044250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 B WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349436",
            "telephone_number": "919-739-9992",
            "fax_number": "919-739-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 AIRLE PLACE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349436",
            "telephone_number": "919-739-9992",
            "fax_number": "919-739-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA NEWSOME LCSW & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PRESIDENT-PROFESSIONAL DATA MANAGME",
        "authorized_official_telephone_number": "919-751-9120"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005226",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "200179438001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005228",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016N4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.