Isaiah Fogle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101402 Issued in IA

Practice address

2570 106TH St Ste E
Urbandale, IA 50322-3742

Phone

(515) 446-7284

NPI assigned

Jul 17, 2020

Last updated

Sep 27, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rooted Insights, PLC

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1073265633
  NPD
• Birchwood Wellness

  • Multi-Specialty Clinic/Center
  • Ankeny, IA
  • NPI 1124405055
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1558979237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 106TH ST STE E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223742",
            "telephone_number": "515-446-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 106TH ST STE E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223742",
            "telephone_number": "515-446-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "ISAIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "101402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jeanette Fish, DO
• Fisher Chiropractic Care, LLC
• Ally Jo Flesher, FNP
• Jeremy Joseph Flinkman, DMD
• Wendy L Fluegel, MD
• Alvin Ray Foley II, DDS
• Forbes Pharmacy Corp (Medicap Pharmacy)
• Forbes Pharmacy Corp (Medicap Pharmacy)
• John Joseph Forbes, RPH
• Danielle Foreman

• Mental Health Counselor in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.