Ilissa Jae Ducoat, LPC, FT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008126 Issued in PA

Practice address

1534 W Broad St Ste 500
Quakertown, PA 18951-1018

Phone

(267) 227-0741

NPI assigned

May 21, 2015

Last updated

Aug 23, 2022By the provider in NPPES

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

Enrolled in PA

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

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Life After Loss Counseling, LLC

  • Professional Counselor
  • Quakertown, PA
  • NPI 1285191148
  NPD Authorized official

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1740669910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 W BROAD ST STE 500",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511018",
            "telephone_number": "267-227-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 W BROAD ST STE 500",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511018",
            "telephone_number": "267-227-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOAT",
        "first_name": "ILISSA",
        "middle_name": "JAE",
        "name_prefix": "Ms.",
        "credential": "LPC, FT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Doroshow, D.O.
• Christine M Dorsey, PA
• Dennis Joseph Dougherty, PT
• Kerianne Marie Downing
• Dream-Dentistry LLC
• Kristina Duric, NP
• DWH Direct RX LLC
• Eastern PA. Chiropractic and Functional Rehab
• William H Eaton Jr.
• Paige Eichelberger

• Professional Counselor in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.