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Vicky A. Newsom

Counselor, Professional in Chandler, AZ. Individual provider (NPI-1).

NPI number1962033126
StatusActive
Last updated in NPPESJan 27, 2020

Details

NPI
1962033126
Entity type
Individual (NPI-1)
Name
Vicky A. Newsom
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2020
Certification date
Jan 27, 2020
Last updated
Jan 27, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC-1339AZYes

Practice location

6292 W Linda Ln
Chandler, AZ 85226-5847

Phone 480-540-2058

Mailing address

6292 W Linda Ln
Chandler, AZ 85226-5847

Phone 480-540-2058

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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