STACI NEWSOM LPC
NPI 1447930524
Counselor - Professional in Lorton, VA

Active since July 24, 2023PECOS Enrolled
7505 WOODSIDE LN APT 12, LORTON, VA 22079(571) 215-9549 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Staci Newsom Lpc NPPES

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

STACI NEWSOM LPC (NPI 1447930524) is an individual professional provider in Lorton, Virginia, licensed in Virginia (0701012419) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447930524
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACI NEWSOMCredential: LPC
Location Address7505 WOODSIDE LN APT 12Lorton, VA 22079-2037
Mailing Address7505 Woodside Ln Apt 12Lorton, VA 22079-2037 · (571) 215-9549
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 23, 2023
NPI 1447930524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701012419
7505 WOODSIDE LN APT 12, Lorton, VA 22079

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Staci Newsom Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447930524, enumerated as an "individual" on July 24, 2023.

The provider is located at 7505 WOODSIDE LN APT 12 LORTON, VA 22079 and the phone number is (571) 215-9549.

Counselor with taxonomy code 101YP2500X and a focus in Professional.