Organization Active NPI

Natasha L Isaman MSN, Pmhnp-BC, Aprn

Doing business as Illuminating Life Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Park, MN
National Provider Identifier
1699592220
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NATASHA L ISAMAN MSN, PMHNP-BC, APRN
Doing business as
Illuminating Life Behavioral Health
Practice address
15976 County Highway 6
Lake Park, MN 56554-9111
Phone
(218) 420-0202
NPI assigned
Sep 24, 2024
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Natasha Lynn Isaman, PMHNP-BCNPI 1720608110
Title
Owner/Clinician
Phone
(218) 420-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

15976 County Highway 6
Lake Park, MN 56554-9111

Mailing address

15976 County Highway 6
Lake Park, MN 56554-9111
Phone (218) 420-0202

Other practice location 1

1601 University Dr N
Fargo, ND 58102-2229
Phone (218) 420-0202

Other names 1

  • Illuminating Life Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241114002135 MN Part B Supplier - Clinic/Group Practice 0941734800 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Park, MN
O20251017004185 ND Part B Supplier - Clinic/Group Practice 0941734800 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

1601 University Dr N
Fargo, ND 58102
Phone (218) 420-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1699592220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15976 COUNTY HIGHWAY 6",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565549111",
            "telephone_number": "218-420-0202",
            "fax_number": "218-270-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15976 COUNTY HIGHWAY 6",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565549111",
            "telephone_number": "218-420-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 University Dr N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581022229",
            "country_code": "US",
            "telephone_number": "218-420-0202",
            "fax_number": "218-270-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATASHA L ISAMAN MSN, PMHNP-BC, APRN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ISAMAN",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "218-420-0202",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminating Life Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.