Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Michelle Derae Newton-Foncham, LCMHC, LCAS, CCS-I

Individual provider Professional Counselor · NPI 1699148361

MS. Michelle Derae Newton-Foncham, LCMHC, LCAS, CCS-I is a Professional Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (980) 390-7762
Fax: (980) 301-9309
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11982 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-21512 (NC)

Record details

NPI number1699148361
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS , CCS-I
Sole proprietorYes
NPI enumeratedNovember 3, 2015
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Other providers in Charlotte