P Praxis·MD
● Active Type 1 · Individual

DR. Jack D Newsome, PH.D LCPC

Counselor·Pocatello, ID· NPI 1124169354 · Enumerated 2007 · 19 years on NPI
Newsome is 1 of 67 counselor providers in Pocatello and 1 of 545 in Idaho.
NPI age
19 years
Enumerated 2007-02-09
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
732 Washington Ave
Pocatello, ID 832013748
📞 2084789822fax 2084786790
Mailing address
944 Dixon
Idaho Falls, ID 83401
📞 2084789822fax 2084786790

Specialties

  • Counselor Primary
    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...
    ID license #LCPC 3403 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Pocatello in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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