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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: November 01, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Staci Newsom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
6.0 mi
Health Maintenance Organization
13285 MINNIEVILLE ROAD
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
  • 995 clinicians in this Medicare group
NPI 1972275196 (301) 816-2424
Mccd Fl Psychiatry Services PA
631 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, District of Columbia enrollment
  • 76 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Staci Newsom's NPI number?

The NPI number for Staci Newsom is 1447930524. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Staci Newsom located?

Staci Newsom practices at 7505 Woodside Ln Apt 12, Lorton, VA 22079. The listed phone number is (571) 215-9549.

What is Staci Newsom's specialty?

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

Is Staci Newsom enrolled in Medicare?

Yes. Staci Newsom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Staci Newsom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Newsom reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, VA) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Newsom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Newsom was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.