Active NPI
Katherine Isaacson, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1477794691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1406
- Practice address
- 725 W Alder St Ste 28
Missoula, MT 59802-4026 - Phone
- (406) 581-8220
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1406 | MT | Primary |
Addresses
Primary practice location
725 W Alder St Ste 28
Missoula, MT 59802-4026
Mailing address
PO Box 3442
Missoula, MT 59806-3442
Phone (406) 581-8220
Other practice location 1
2504 Blackthorn Dr
Missoula, MT 59803-2540
Phone (406) 581-8220
Other practice location 2
2504 Blackthorn Dr
Missoula, MT 59803-2540
Phone (406) 581-8220
Other practice location 3
300 N Willson Ave
Bozeman, MT 59715-3551
Phone (406) 522-7357
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 |
|---|---|---|---|
| 1406 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1477794691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3442",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063442",
"telephone_number": "406-581-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W ALDER ST STE 28",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024026",
"telephone_number": "406-581-8220"
}
],
"practiceLocations": [
{
"address_1": "2504 Blackthorn Dr",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598032540",
"country_code": "US",
"telephone_number": "406-581-8220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2504 Blackthorn Dr",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598032540",
"country_code": "US",
"telephone_number": "406-581-8220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N Willson Ave",
"address_purpose": "LOCATION",
"city": "Bozeman",
"state": "MT",
"postal_code": "597153551",
"country_code": "US",
"telephone_number": "406-522-7357",
"fax_number": "406-522-8361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAACSON",
"first_name": "KATHERINE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.