Phillip James Isco, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1100082 Issued in OH

Practice address

638 Blarney Stone CT
Galloway, OH 43119-9112

Phone

(412) 916-5458

NPI assigned

Jul 21, 2014

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Contour Counseling

  • Mental Health Counselor
  • Galloway, OH
  • NPI 1043963556
  NPD Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1306253539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 BLARNEY STONE CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199112",
            "telephone_number": "412-916-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BLARNEY STONE CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199112",
            "telephone_number": "412-916-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCO",
        "first_name": "PHILLIP",
        "middle_name": "JAMES",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC.131230-3",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1100082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Horton
• Sylvia A Horton
• Huda
• Vicky Humphrey, PT
• Tluang Za Iap
• Courtney Jackson
• Rugiatou Jallow, LPN
• Salma Abdullahi Jama
• Jamean R. Mallinson
• Mindy Jennings

• Mental Health Counselor in Galloway, OH
• Providers in Galloway, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.