Active NPI
Bari S Isaacson, LPC
- Professional Counselor
- Roseburg, OR
National Provider Identifier
1679629356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0923
- Practice address
- 845 SE Mosher Ave
Roseburg, OR 97470-3961 - Phone
- (541) 492-7222
- Fax
- (541) 492-7221
- NPI assigned
- Jan 26, 2007
- 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 | C0923 | OR | Primary |
Addresses
Primary practice location
845 SE Mosher Ave
Roseburg, OR 97470-3961
Mailing address
PO Box 594
Roseburg, OR 97470-0126
Phone (541) 492-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P015 | Medicaid | OR |
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 |
|---|---|---|---|
| C0923 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1679629356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 594",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700126",
"telephone_number": "541-492-7222",
"fax_number": "541-492-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 SE MOSHER AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703961",
"telephone_number": "541-492-7222",
"fax_number": "541-492-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "BARI",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C0923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P015",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.