Individual provider Active NPI

Nellie Louise Newsome, CADC, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Roanoke Rapids, NC
National Provider Identifier
1750030557
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1579 Issued in NC
Practice address
730 Roanoke Ave Ste A3
Roanoke Rapids, NC 27870-2737
Phone
(252) 507-5051
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1579 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3126 VA

Addresses

Primary practice location

730 Roanoke Ave Ste A3
Roanoke Rapids, NC 27870-2737

Mailing address

PO Box 1342
Roanoke Rapids, NC 27870-1342
Phone (252) 507-5051

Other names 1

  • Nellie Newsom Professional name

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

State licenses

LicenseStateTypeSpecialty
1579NCMDAddiction (Substance Use Disorder) Counselor
3126VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Drug Education and Human Development Centers, Inc. Addiction (Substance Use Disorder) PastSince Mar 27, 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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1750030557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1342",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701342",
            "telephone_number": "252-507-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ROANOKE AVE STE A3",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702737",
            "telephone_number": "252-507-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "NELLIE",
        "middle_name": "LOUISE",
        "credential": "CADC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1579",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "3126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "NEWSOM",
            "credential": "CADC, CSAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.