Active NPI
Kaitlyn B Iseminger, M.A., LPC
- Professional Counselor
- Spring, TX
National Provider Identifier
1760984595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91617 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Counseling LLC | Professional | Current | 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.
-
- Professional Counselor
- Spring, TX
- NPI 1235986282
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.