1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Counselor
  6. NPI Profile

MR. KENNETH E NEWSOME JR.
NPI 1295311587
Counselor - Mental Health in Champaign, IL

Active since March 18, 2021
1764 VALLEY RD, CHAMPAIGN, IL 61820(131) 280-6751 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth E Newsome Jr. NPPES

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

MR. KENNETH E NEWSOME JR. (NPI 1295311587) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1295311587
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH E NEWSOME JR.
Location Address1764 VALLEY RDChampaign, IL 61820-7112
Mailing Address2826 N. Monroe StDecatur, IL 62526 · (708) 771-7180
Phone(131) 280-6751
Sole ProprietorNo
Enumeration DateMarch 18, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1295311587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1764 VALLEY RD, Champaign, IL 61820
Open in Google Maps ↗

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 Kenneth Newsome's NPI number?

The NPI number for Kenneth Newsome is 1295311587. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Kenneth Newsome located?

Kenneth Newsome practices at 1764 Valley Rd, Champaign, IL 61820. The listed phone number is (131) 280-6751.

What is Kenneth Newsome's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Newsome was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.