Individual provider Active NPI

Kaitlyn B Iseminger, M.A., LPC

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1760984595
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91617 Issued in TX
Practice address
25203 Tuckahoe LN
Spring, TX 77373-8013
Phone
(832) 205-8138
Fax
(832) 384-9456
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 91617 TX Primary

Addresses

Primary practice location

25203 Tuckahoe LN
Spring, TX 77373-8013

Mailing address

25203 Tuckahoe LN
Spring, TX 77373-8013
Phone (832) 205-8138

Other practice location 1

414 N Meridian St Unit A
Newberg, OR 97132-2697
Phone (503) 554-2390

Other practice location 2

8770 SW Scoffins St
Tigard, OR 97223-6226
Phone (503) 684-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251028001351 TX Practitioner - Mental Health Counselor 4880183177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25203 Tuckahoe LN
Spring, TX 77373-8013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91617TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Counseling LLC Professional CurrentSince Sep 9, 2025 Accepting new patients

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1760984595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25203 TUCKAHOE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738013",
            "telephone_number": "832-205-8138",
            "fax_number": "832-384-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25203 TUCKAHOE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738013",
            "telephone_number": "832-205-8138",
            "fax_number": "832-384-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Meridian St Unit A",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971322697",
            "country_code": "US",
            "telephone_number": "503-554-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8770 SW Scoffins St",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972236226",
            "country_code": "US",
            "telephone_number": "503-684-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISEMINGER",
        "first_name": "KAITLYN",
        "middle_name": "B",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.