Individual provider Active NPI

Rosanne Nardoni Isom, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1225355886
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04133 Issued in OK
Practice address
505 SW 68TH St
Oklahoma City, OK 73139-4307
Phone
(405) 626-2544
NPI assigned
Apr 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4133 OK
Professional Counselor 101YP2500X LPC04133 OK Primary

Addresses

Primary practice location

505 SW 68TH St
Oklahoma City, OK 73139-4307

Mailing address

505 SW 68TH St
Oklahoma City, OK 73139-4307
Phone (405) 626-2544

Other identifiers 1

IdentifierTypeStateIssuer
2003647290AMedicaidOK

Other names 1

  • Rosanne Isom Butler Professional name

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

LicenseStateTypeSpecialty
4133OKMDMental Health Counselor
LPC04133OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1225355886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SW 68TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394307",
            "telephone_number": "405-626-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SW 68TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394307",
            "telephone_number": "405-626-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDONI ISOM",
        "first_name": "ROSANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4133",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC04133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003647290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNE",
            "last_name": "ISOM BUTLER",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.