AUTUMN L NEWBY (LPC) – Professional Counselor, NPI 1295331007

AUTUMN L NEWBY (LPC) is a healthcare provider. based in Columbia, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 2017035087 (MO). The NPI Number for AUTUMN L NEWBY (LPC) is 1295331007

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
AUTUMN L NEWBY (LPC)
NPI
1295331007
Phone
(816) 352-2960
Address
702 UPLAND CREEK RD
Enumeration Date
7 December 2020
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165001355
Graduation Year
2017 (9 years ago)
PAC ID
0941659833
Group Practice PAC ID
3476902750
Professional Enrollment ID
I20231218003657
Address ID
MO641531387KA7509XPKWY504
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for AUTUMN L NEWBY (LPC)

  • 702 UPLAND CREEK RD

    COLUMBIA, MO 652016786

    Phone: (816) 352-2960

    Type: Mailing

  • 1804 HERIFORD RD

    COLUMBIA, MO 652021942

    Phone: (573) 639-1094

    Type: Location

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: 2023-12-18

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
I20231218003657IMental Health CounselorMOTBD

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 65201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476902750View full group profile
NameSpecialtyState
Mental Health CounselorMO
Clinical Social WorkerMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

Is AUTUMN L NEWBY (LPC) listed with a National Provider Identifier?
Yes — AUTUMN L NEWBY (LPC) has NPI 1295331007 on file in the registry.
Is there an active status for AUTUMN L NEWBY (LPC)?
For scheduling context, AUTUMN L NEWBY (LPC) is shown as active in the registry.
What clinical focus is listed for AUTUMN L NEWBY (LPC)?
At a glance, AUTUMN L NEWBY (LPC) is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
Is AUTUMN L NEWBY (LPC) located near Columbia?
AUTUMN L NEWBY (LPC) currently maps to Columbia, Missouri in this extract.
Can I trust this NPI listing for AUTUMN L NEWBY (LPC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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