MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) – Marriage & Family Therapist, NPI 1366521007

MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) is a healthcare provider. based in Anoka, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials M.S., L.M.F.T.. They hold a License No. 579 (MN). The NPI Number for MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) is 1366521007

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.)
NPI
1366521007
Phone
(763) 421-7909
Address
2006 1ST AVE STE B10
Enumeration Date
3 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
2567814205
Professional Enrollment ID
I20240118002847
Address ID
MN553034222Ra14950NWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.)

  • 2006 1ST AVE STE B10

    ANOKA, MN 553032255

    Phone: (763) 421-7909

    Type: Location

  • 14950, Juniper Ridge Drive Northwest, Ramsey, Anoka County, Minnesota, 55303, United States

    RAMSEY, MN 553034222

    Phone: (763) 427-0441

    Fax: (763) 421-5646

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118002847IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55303)

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Reviews

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Frequently asked questions

What identifier follows MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) across health systems?
The NPI 1366521007 uniquely identifies MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) in U.S. healthcare data.
Should I treat MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) as an active provider?
Patients and plans typically see MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) as active in the national extract.
How should patients interpret MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.)'s specialty?
The extract shows Marriage & Family Therapist for MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.)?
MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.) is associated with Anoka, Minnesota in the same public data insurers reference.
Who maintains MS. JOAN ANTONIA NEWBOLT (M.S., L.M.F.T.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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