Individual provider Active NPI

Karen Kay Isaacs, CHW/CRS

  • Addiction (Substance Use Disorder) Counselor
  • Connersville, IN
National Provider Identifier
1285026708
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
208 W 21St St
Connersville, IN 47331-2930
Phone
(765) 338-9885
Fax
(765) 222-1249
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IN Primary

Addresses

Primary practice location

208 W 21St St
Connersville, IN 47331-2930

Mailing address

1514 Conwell Street
208 WST 21St Street
Connersville, INDIANA 47331
UM
Phone (765) 338-9885

Other identifiers 1

IdentifierTypeStateIssuer
111MedicaidIN

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

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1285026708",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1514 CONWELL STREET",
            "address_2": "208 WST 21ST STREET",
            "city": "CONNERSVILLE",
            "state": "INDIANA",
            "postal_code": "47331",
            "telephone_number": "765-338-9885",
            "fax_number": "765-222-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 21ST ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312930",
            "telephone_number": "765-338-9885",
            "fax_number": "765-222-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "credential": "CHW/CRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.