Active NPI
Rosanne Nardoni Isom, LPC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1225355886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003647290A | Medicaid | OK |
Other names 1
- Rosanne Isom Butler
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 |
|---|---|---|---|
| 4133 | OK | MD | Mental Health Counselor |
| LPC04133 | OK | MD | Professional 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.