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MRS. NICOLE NEWBERRY
NPI 1245978485
Counselor - Professional in Nottingham, MD

Active since May 26, 2022PECOS Enrolled
5022 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236(443) 442-1568 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Aug 9, 2022, May 26, 2022 (3 updates tracked since 2022).

About Mrs. Nicole Newberry NPPES

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

MRS. NICOLE NEWBERRY (NPI 1245978485) is an individual professional provider in Nottingham, Maryland, licensed in Maryland (LGP12861) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245978485
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NICOLE NEWBERRY
Location Address5022 CAMPBELL BLVD STE L-MNottingham, MD 21236-4969
Mailing Address5022 Campbell Blvd Ste L-mNottingham, MD 21236-4969 · (443) 442-1568
Phone(443) 442-1568
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2022
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1245978485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LGP12861✔ Licensed in MD · LC17086
5022 CAMPBELL BLVD STE L-M, Nottingham, MD 21236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Newberry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800387192
PECOS Enrollment IDI20251114001115
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NICOLE MARIE ZELL LGPC
Counselor
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
CHRISTOPHER FLEMING INTERN
Student in an Organized Health Care Education/Training Program
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
FATIMA ZIA LMSW
Social Worker (Clinical)
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
JULIE BETH HARRIS LGSW
Social Worker
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
DR. ANSON LIU M.D.
Psychiatry & Neurology (Psychiatry)
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
ANNE WOJTOWICZ LMSW
Social Worker
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (410) 406-0049
MORGAN ANNE HAVILAND LGPC
Counselor (Mental Health)
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (443) 442-1568
KATHERINE J KALTENHEUSER
Social Worker (Clinical)
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD 21236
Baltimore County (202) 355-3111

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 Nicole Newberry's NPI number?

The NPI number for Nicole Newberry is 1245978485. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Nicole Newberry located?

Nicole Newberry practices at 5022 Campbell Blvd Ste L-M, Nottingham, MD 21236. The listed phone number is (443) 442-1568.

What is Nicole Newberry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Newberry enrolled in Medicare?

Yes. Nicole Newberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Newberry was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.