Individual provider Active NPI

Sarah Elizabeth Isaack, MS, LPC

  • Professional Counselor
  • Cheyenne, WY
National Provider Identifier
1790189165
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1607 Issued in WY
Practice address
1904 Warren Ave
Cheyenne, WY 82001-3730
Phone
(307) 216-4227
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 855 WY
Counselor 101Y00000X 1607 WY
Professional Counselor 101YP2500X 1607 WY Primary

Addresses

Primary practice location

1904 Warren Ave
Cheyenne, WY 82001-3730

Mailing address

929 Ballad LN
Cheyenne, WY 82007-3556
Phone (307) 689-7509

Other practice location 1

2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
855WYMDClinical Psychologist
1607WYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Liv in-Home Counseling & Care Management, LLC CurrentSince Nov 1, 2023 Accepting new patients
Be Herd LLC CurrentSince Aug 4, 2024 Accepting new patients
Personal Frontiers, Inc. PastSince Jun 1, 2020 Accepting new patients

Locations

2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729

1904 Warren Ave
Cheyenne, WY 82001
Phone (307) 216-4227

Organizations & group practices 3

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1790189165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BALLAD LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073556",
            "telephone_number": "307-689-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WARREN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013730",
            "telephone_number": "307-216-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Dell Range Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820095273",
            "country_code": "US",
            "telephone_number": "307-630-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACK",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "855",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "1607",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.