Individual provider Active NPI

Allison Isaacson

  • Mental Health Counselor
  • Eureka, CA
National Provider Identifier
1841956802
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW87688 Issued in CA
Practice address
800 W Harris St Ste 33
Eureka, CA 95503-3929
Phone
(707) 296-7660
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW87688 CA Primary

Addresses

Primary practice location

800 W Harris St Ste 33
Eureka, CA 95503-3929

Mailing address

768 Barry Ave
Fortuna, CA 95540-3140
Phone (925) 628-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240716002404 CA Practitioner - Clinical Social Worker 0446795355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of PlumasGroup PAC ID 7618004698, 4 clinicians

Practice addresses (Care Compare)

270 County Hospital Rd
Suite 109
Quincy, CA 95971-9173
Phone (530) 283-6307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW87688CAMDMental Health Counselor
117379CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Plumas CurrentSince Jul 1, 2024 Accepting new patients

Locations

270 County Hospital Rd
Ste 109
Quincy, CA 95971
Phone 5302836307 ext. 115

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1841956802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 BARRY AVE",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403140",
            "telephone_number": "925-628-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HARRIS ST STE 33",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033929",
            "telephone_number": "707-296-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW87688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.