Chandra Isaac, M.S., ADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADT3254 Issued in MD

Practice address

4201 Belmar Ave # 3
Baltimore, MD 21206-1900

Phone

(667) 239-3195

Fax

(667) 309-5161

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1639956907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N MILTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132513",
            "telephone_number": "410-371-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BELMAR AVE # 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061900",
            "telephone_number": "667-239-3195",
            "fax_number": "667-309-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "CHANDRA",
        "name_prefix": "Ms.",
        "credential": "M.S., ADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hazebroek Irving, ATC
• John Irwin Jr.
• Katherine Elyse Irwin
• Symone Isaac-Wilkins, MD
• Andrea Isaac
• Elizabeth Isaac, M.AC.; L.AC.; ADS
• Estherlyn Isaac
• Nisha Isaac, M.S., C.G.C.
• Sean Anthony Isaac Jr., MD
• Alexandra Eva Isaacs, MS

• Addiction (Substance Use Disorder) Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.