Individual provider Active NPI

Marit Ann Isaksen, M.A., LMHC

  • Mental Health Counselor
  • New Bedford, MA
National Provider Identifier
1851509483
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
345 Union St
New Bedford, MA 02740
Phone
(774) 202-6502
NPI assigned
May 18, 2007
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Registered Nurse 163W00000X 136879 MA

Addresses

Primary practice location

345 Union St
New Bedford, MA 02740

Mailing address

345 Union St
New Bedford, MA 02740-3679
Phone (774) 202-6502

Other names 1

  • Ms. Marit Ann Isaksen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240715002962 MA Practitioner - Mental Health Counselor 5193260115 Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Union St
New Bedford, MA 02740-3679
Phone (774) 202-6502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136879MAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1851509483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403679",
            "telephone_number": "774-202-6502",
            "fax_number": "774-202-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "774-202-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSEN",
        "first_name": "MARIT",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "136879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIT",
            "last_name": "ISAKSEN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.