Kristen Ishak, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

360 N Oak St
Columbia City, IN 46725-1608

Phone

(260) 244-0264

NPI assigned

Aug 7, 2020

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Dhaemers Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Live Heal Grow Counseling ServicesGroup PAC ID 0547665325, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Live Heal Grow Counseling Services

  • Mental Health Counselor
  • Columbia City, IN
  • NPI 1780274712
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1639789282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-244-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-244-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.livehealgrow.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "360 N Oak St",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467251608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DHAEMERS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Charles Howey, M.D.
• Cathy Hunter
• Twyla Hunter, RD
• David L Hurley, MD
• Brittany R Ianucilli-Kyler, RBT
• Tina L Jagger, MSW, LCSW
• Jan C Boggs Inc (Choices & Changes)
• Madelyn McKenna Janssen
• Anthony D Jeffers, LCSW
• Jefferson Center Whitley County VFD

• Social Worker in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.

Verify at the official NPI Registry.