Individual provider Active NPI

Douglas J Newsome, LPC, LSATP

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1811139918
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002816 Issued in VA
Practice address
850 Tidewater Dr
Norfolk, VA 23504-3300
Phone
(757) 663-7510
Fax
(757) 533-9634
NPI assigned
Apr 3, 2009
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000051 VA
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 0701002816 VA Primary

Addresses

Primary practice location

850 Tidewater Dr
Norfolk, VA 23504-3300

Mailing address

850 Tidewater Dr
Norfolk, VA 23504-3300
Phone (757) 663-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241205001683 VA Practitioner - Mental Health Counselor 7810423571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Norfolk CurrentSince Jul 27, 2024 Accepting new patients
City of Norfolk Addiction (Substance Use Disorder) PastSince Jul 27, 2024 Accepting new patients

Locations

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

7460 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6670

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1811139918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-663-7510",
            "fax_number": "757-533-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-663-7510",
            "fax_number": "757-533-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "LPC, LSATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.