Active NPI
Kyle Newkam, M.ED., NCC, LPC
- Mental Health Counselor
- Harrisburg, PA
National Provider Identifier
1891234910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC007800
- Practice address
- 5351C Jaycee Ave
Suite 1
Harrisburg, PA 17112-2997 - Phone
- (717) 657-2080
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC007800 | PA | Primary |
Addresses
Primary practice location
5351C Jaycee Ave
Suite 1
Harrisburg, PA 17112-2997
Mailing address
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007800 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1891234910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351C JAYCEE AVE",
"address_2": "SUITE 1",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122997",
"telephone_number": "717-657-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWKAM",
"first_name": "KYLE",
"credential": "M.ED., NCC, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC007800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.