Healthcare Provider Details

I. General information

NPI: 1932872728
Provider Name (Legal Business Name): LORIE ANN NEWTON LCPC03714/LMAC01053
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 N 13TH ST
KANSAS CITY KS
66104-5621
US

IV. Provider business mailing address

2100 N 13TH ST
KANSAS CITY KS
66104-5621
US

V. Phone/Fax

Practice location:
  • Phone: 913-229-6712
  • Fax:
Mailing address:
  • Phone: 913-229-6712
  • Fax: 913-621-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number01053
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number03714
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: