Elliot Isom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3576 Issued in KS

Practice address

1301 Oak St
Hays, KS 67601-3659

Phone

(785) 628-3575

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tess Bennett LLC

  • Clinical Social Worker
  • Hays, KS
  • NPI 1770131468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1114294568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 E 21ST ST UNIT B",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012738",
            "telephone_number": "785-639-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OAK ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013659",
            "telephone_number": "785-628-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174662526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley E Huebner, LMFT
• Hayley Hullman, CRNA
• Alexis Marie Ibarra, DNP, APRN-C
• Ignited Path Psychiatry LLC
• Amy Illovsky
• Andrew B Jacobs, LMSW
• Jacque Lynn Jacobs
• Kim Jacobs, RDN
• Manoj Jagtiani, DO
• Pramod Janga, MD

• Professional Counselor in Hays, KS
• Providers in Hays, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.