Individual provider Active NPI

Henry Isaac

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1295206514
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
04250 Issued in TN
Practice address
560 Colonial Rd Ste 201
Memphis, TN 38117-4097
Phone
(901) 930-7397
Fax
(901) 244-6528
NPI assigned
Dec 14, 2018
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 04250 TN Primary

Addresses

Primary practice location

560 Colonial Rd Ste 201
Memphis, TN 38117-4097

Mailing address

560 Colonial Rd Ste 201
Memphis, TN 38117-4097
Phone (901) 930-7397

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, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

35 S Auburndale St
Memphis, TN 38104-3916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04250TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Counseling, PLC Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1295206514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174097",
            "telephone_number": "901-930-7397",
            "fax_number": "901-244-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174097",
            "telephone_number": "901-930-7397",
            "fax_number": "901-244-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-14",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "04250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.