Robin Isaacson

Individual provider Active NPI Mental Health Counselor · Frederick, MD

NPI 1154091460 · NPPES record last updated Nov 8, 2021

Key facts

NPI
1154091460
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LGP12026 (MD)
Practice address
309 E Patrick St
Frederick, MD 21701-6792
Phone
(301) 631-1304
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LGP12026MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Vie En Rose Counseling and Wellness Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LGP12026 MD Yes

Addresses

Primary practice location

309 E Patrick St
Frederick, MD 21701-6792

Mailing address

309 E Patrick St
Frederick, MD 21701-6792

Other providers in Frederick, MD

All providers in Frederick, MD · Mental Health Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.