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DR. JACK D NEWSOME PH.D LCPC
NPI 1124169354
Counselor in Pocatello, ID

Active since February 09, 2007
732 WASHINGTON AVE, POCATELLO, ID 83201(208) 478-9822(208) 478-6790 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack D Newsome Ph.d Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK D NEWSOME PH.D LCPC (NPI 1124169354) is an individual counselor in Pocatello, Idaho, licensed in Idaho (LCPC 3403) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124169354
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. JACK D NEWSOMECredential: PH.D LCPC
Location Address732 WASHINGTON AVEPocatello, ID 83201-3748
Mailing Address944 DixonIdaho Falls, ID 83401 · (208) 478-9822 · Fax (208) 478-6790
Phone(208) 478-9822
Fax(208) 478-6790
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1124169354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · LCPC 3403
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
732 WASHINGTON AVE, Pocatello, ID 83201
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Other Identifiers 1

Medicare UPIN000010151135ID

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A TO Z FAMILY SERVICES INC.
Community/Behavioral Health
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 478-9822
MRS. SANDRA LYN VOLLMER LMSW
Counselor (Mental Health)
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 478-9822
ROCKY MOUNTAIN HOME HEALTH AND HOSPICE
Home Health
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 604-0098
MR. TYRONE RICHARD SHUMAN LCSW
Social Worker (Clinical)
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 478-9822
ALTAN C HARDCASTLE LCSW
Social Worker (Clinical)
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 852-6385
ROCKY MOUNTAIN HOME HEALTH AND HOSPICE
Hospice Care, Community Based
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 604-0098
A TO Z FAMILY SERVICES INC.
Community/Behavioral Health
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 478-9822
A TO Z FAMILY SERVICES, INC.
Community/Behavioral Health
732 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 478-9822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Newsome's NPI number?

The NPI number for Jack Newsome is 1124169354. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Jack Newsome located?

Jack Newsome practices at 732 Washington Ave, Pocatello, ID 83201. The listed phone number is (208) 478-9822.

What is Jack Newsome's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jack Newsome was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.