Active NPI
Tanisha Lakia Newsome, LCAS A
- Poetry Therapist
- Durham, NC
National Provider Identifier
1861954331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Poetry Therapist
- Practice address
- 2927 Forrestal Dr
Durham, NC 27703-4785 - Phone
- (919) 519-0533
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-26837 | NC | |
| Poetry Therapist | 102X00000X | NC | Primary | |
| Pastoral Counselor | 101YP1600X | 129 | NC | |
| Health Educator | 174H00000X | NC | ||
| Case Manager/Care Coordinator | 171M00000X | NC |
Addresses
Primary practice location
2927 Forrestal Dr
Durham, NC 27703-4785
Mailing address
2927 Forrestal Dr
Durham, NC 27703-4785
Phone (919) 519-0533
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-26837 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| TN6728981 | NC | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Barriers Resource Ministry | Pastoral | Current | Accepting new patients |
| Casting Out Fears Ministry NP | Pastoral | Past | Accepting new patients |
| Casting Out Fears Ministry NP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pastoral Counselor
- Durham, NC
- NPI 1932939105
-
- Pastoral Counselor
- Durham, NC
- NPI 1265189229
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1851048789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1861954331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2927 FORRESTAL DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277034785",
"telephone_number": "919-519-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 FORRESTAL DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277034785",
"telephone_number": "919-519-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "TANISHA",
"middle_name": "LAKIA",
"credential": "LCAS A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-26837",
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": "129",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.