Active NPI
Christie Newsom
- Professional Counselor
- Duluth, GA
National Provider Identifier
1881009645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007378
- Practice address
- 3883 Rogers Bridge Rd
204 A
Duluth, GA 30097-2802 - Phone
- (678) 392-1302
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007378 | GA | Primary |
Addresses
Primary practice location
3883 Rogers Bridge Rd
204 A
Duluth, GA 30097-2802
Mailing address
2010 Habersham Trce
Cumming, GA 30041-5999
Phone (678) 414-9459
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 |
|---|---|---|---|
| LPC007378 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1881009645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 HABERSHAM TRCE",
"city": "CUMMING",
"state": "GA",
"postal_code": "300415999",
"telephone_number": "678-414-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 ROGERS BRIDGE RD",
"address_2": "204 A",
"city": "DULUTH",
"state": "GA",
"postal_code": "300972802",
"telephone_number": "678-392-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOM",
"first_name": "CHRISTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.