Kimberly Anita Newsome, MA LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1817 Issued in NC

Practice address

1110 Navaho Dr Ste 125
Raleigh, NC 27609-7352

Phone

(919) 431-9874

Fax

(919) 431-9875

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1962795997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD LEAF CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133280",
            "telephone_number": "919-789-9747",
            "fax_number": "919-786-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NAVAHO DR STE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097352",
            "telephone_number": "919-431-9874",
            "fax_number": "919-431-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "KIMBERLY",
        "middle_name": "ANITA",
        "credential": "MA LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1817",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "1817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lee Newnam, LCSW
• Gabrielle Denize Newsam, M.D.
• Betsy Newsome Moody, LCSWA
• Andrew Randall Newsome, CRNA
• Joan Catherine Payne Newsome, M.S., CCC-SLP
• Lisa T Newsome, M.D.
• Neyma Newsome, OT
• Newton Psychotherapy and Consulting, PLLC
• Allyssa Blaire Newton, AGACNP-BC
• Bernard James Newton Jr., M.S., LPC

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.