Active NPI
Lauren Ashley Isaacson, LMHC
- Mental Health Counselor
- Bettendorf, IA
National Provider Identifier
1801463146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 108600
- Practice address
- 2550 Middle Rd Ste 300
Bettendorf, IA 52722-3287 - Phone
- (309) 236-1336
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 108600 | IA | Primary |
Addresses
Primary practice location
2550 Middle Rd Ste 300
Bettendorf, IA 52722-3287
Mailing address
1737 N 900TH Ave
Lynn Center, IL 61262-9571
Phone (309) 236-1336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108600 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Roots | Mental Health | Current | Accepting new patients |
Locations
2435 Kimberly Rd
Ste 100N
Bettendorf, IA 52722
Phone (309) 236-1336
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": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1801463146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 N 900TH AVE",
"city": "LYNN CENTER",
"state": "IL",
"postal_code": "612629571",
"telephone_number": "309-236-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 MIDDLE RD STE 300",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223287",
"telephone_number": "309-236-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "LAUREN",
"middle_name": "ASHLEY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "108600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.