Individual provider Active NPI

Joseph Roy Ismil Jr., MA, LPCC

  • Mental Health Counselor
  • Hibbing, MN
National Provider Identifier
1194643387
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5698 Issued in MN
Practice address
2729 E Beltline
Hibbing, MN 55746-2305
Phone
(218) 293-4789
Fax
(218) 327-0456
NPI assigned
Jul 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5698 MN Primary

Addresses

Primary practice location

2729 E Beltline
Hibbing, MN 55746-2305

Mailing address

905 SW 4TH Ave
Grand Rapids, MN 55744-3506
Phone (218) 293-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

516 S Pokegama Ave
Grand Rapids, MN 55744-3820

915 E 1St St
Duluth, MN 55805-2107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194643387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SW 4TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443506",
            "telephone_number": "218-293-4789",
            "fax_number": "218-327-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 E BELTLINE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462305",
            "telephone_number": "218-293-4789",
            "fax_number": "218-327-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMIL",
        "first_name": "JOSEPH",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.