Clinton Patrick Newell, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

25 Issued in CA

Practice address

72925 Fred Waring Dr Ste 201
Palm Desert, CA 92260-9405

Phone

(760) 895-1616

Fax

(760) 334-8715

NPI assigned

Apr 3, 2007

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Clint Patrick Newell Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Scion Counseling Inc

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  • NPI 1053927285
  Medicare reassignment NPD Authorized official
• Cynthia Stava Counseling Inc.

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  • Palm Desert, CA
  • NPI 1265181648
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1639290620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72925 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609405",
            "telephone_number": "760-895-1616",
            "fax_number": "760-334-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72925 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609405",
            "telephone_number": "760-895-1616",
            "fax_number": "760-334-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "CLINTON",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLINT",
            "last_name": "NEWELL",
            "middle_name": "PATRICK",
            "prefix": "MR.",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Counselor in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.

Verify at the official NPI Registry.