Individual provider Active NPI

John Leighton Newman Jr., LADC, LPCC

  • Mental Health Counselor
  • Rochester, MN
National Provider Identifier
1750949277
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02120 Issued in MN
Practice address
602 11TH Ave NW
Rochester, MN 55901-2291
Phone
(507) 272-5579
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02120 MN Primary

Addresses

Primary practice location

602 11TH Ave NW
Rochester, MN 55901-2291

Mailing address

3008 Crescent LN NW
Rochester, MN 55901-1414
Phone (507) 272-5579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240219003468 MN Practitioner - Mental Health Counselor 9032553912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02120MNMDMental Health Counselor
2120MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
JNL Counseling, LLC CurrentSince Oct 30, 2022 Accepting new patients
Optimal Brain MN, PLLC PastSince Jul 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1750949277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 CRESCENT LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011414",
            "telephone_number": "507-272-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012291",
            "telephone_number": "507-272-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JOHN",
        "middle_name": "LEIGHTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LADC, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.