Active NPI
Isaac Harrison, CACA&D
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
National Provider Identifier
1134412315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AC0546
- Practice address
- 1501 Division St
Baltimore, MD 21217-3121 - Phone
- (410) 383-8300
- Fax
- (410) 383-3131
- NPI assigned
- May 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC0546 | MD | Primary |
Addresses
Primary practice location
1501 Division St
Baltimore, MD 21217-3121
Mailing address
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905611400 | Other | MD | MEDICAL # |
| 1972597425 | Other | MD | PROVIDER ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC0546 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1134412315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ISAAC",
"name_prefix": "Mr.",
"credential": "CACA&D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-23",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC0546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL #",
"identifier": "905611400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "1972597425",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.