Active NPI
Justine Caron Isakson, LMHC
- Professional Counselor
- Auburn, MA
National Provider Identifier
1306118526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 714B Southbridge Street
Auburn, MA 01501 - Phone
- (774) 209-4060
- Fax
- (401) 489-7544
- NPI assigned
- Feb 3, 2012
- Last updated
- Feb 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
714B Southbridge Street
Auburn, MA 01501
Mailing address
714B Southbridge Street
Auburn, MA 01501
Phone (774) 209-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
354 W Boylston St
Suite 225
West Boylston, MA 01583-2373
Phone (774) 261-8011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New View Health and Wellness LLC | Current | Accepting new patients |
Locations
354 W Boylston St
Ste 225
West Boylston, MA 01583
Phone (774) 261-8011
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1952947772
MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1306118526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714B SOUTHBRIDGE STREET",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "774-209-4060",
"fax_number": "401-489-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714B SOUTHBRIDGE STREET",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "774-209-4060",
"fax_number": "401-489-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAKSON",
"first_name": "JUSTINE",
"middle_name": "CARON",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-03",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.