Active NPI
Kris Isaacs, MA, CACII
- Counselor
- Lafayette, CO
National Provider Identifier
1043696958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10984
- Practice address
- 404 E Cannon St
Lafayette, CO 80026-2207 - Phone
- (303) 668-3943
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10984 | CO | Primary |
Addresses
Primary practice location
404 E Cannon St
Lafayette, CO 80026-2207
Mailing address
404 E Cannon St
Lafayette, CO 80026-2207
Phone (303) 668-3943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10984 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1043696958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 E CANNON ST",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262207",
"telephone_number": "303-668-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E CANNON ST",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262207",
"telephone_number": "303-668-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "KRIS",
"credential": "MA, CACII",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "10984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.