IndividualActive
Jack Newsome, PH.D LCPC
NPI 1124169354 · Counselor · Pocatello, ID
Jack Newsome, PH.D LCPC is a Counselor provider in Pocatello, ID (NPI 1124169354).
Provider details
- NPI number
- 1124169354
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D LCPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCPC 3403 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
732 Washington Ave
Pocatello, ID 83201-3748
Phone: (208) 478-9822
Fax: (208) 478-6790
Street-level locationGet directions
Mailing address
944 Dixon
Idaho Falls, ID 83401
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jack Newsome's NPI number?
- Jack Newsome's National Provider Identifier (NPI) is 1124169354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Newsome's specialty?
- Jack Newsome is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Newsome located?
- Jack Newsome's practice location on file with NPPES is 732 Washington Ave, Pocatello, ID 83201-3748.
- What is Jack Newsome's phone number?
- The practice phone number listed in the NPPES registry for Jack Newsome is (208) 478-9822.
- Is Jack Newsome's NPI active?
- Yes — Jack Newsome's NPI (1124169354) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.