Individual provider Active NPI

Isaiah Thomas Tatum, M.A.

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1730746884
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23845 Issued in AZ
Practice address
201 W Guadalupe Rd Ste 301
Gilbert, AZ 85233-3333
Phone
(480) 870-8080
Fax
(480) 999-4707
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 23845 AZ Primary

Addresses

Primary practice location

201 W Guadalupe Rd Ste 301
Gilbert, AZ 85233-3333

Mailing address

10 Boulder Crescent St Ste 102
Colorado Springs, CO 80903-3350
Phone (719) 633-8119

Other practice location 1

10 Boulder Crescent St Ste 102
Colorado Springs, CO 80903-3350
Phone (719) 633-8119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250717003031 AZ Practitioner - Mental Health Counselor 8123534120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23845AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Escalera Health LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

201 W Guadalupe Rd
Ste 301
Gilbert, AZ 85233
Phone (480) 870-8080

13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1730746884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033350",
            "telephone_number": "719-633-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 301",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333333",
            "telephone_number": "480-870-8080",
            "fax_number": "480-999-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Boulder Crescent St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033350",
            "country_code": "US",
            "telephone_number": "719-633-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "ISAIAH",
        "middle_name": "THOMAS",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.