Individual provider Active NPI

Madison Isenberg

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1851904387
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1902014-TRNE Issued in OH
Practice address
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Phone
(567) 408-7242
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 1902014-TRNE OH Primary

Addresses

Primary practice location

7140 Port Sylvania Dr
Toledo, OH 43617-1176

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169

Other practice location 1

2150 W Central Ave Fl 2
Toledo, OH 43606-3834
Phone (567) 277-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305001980 OH Practitioner - Mental Health Counselor 2961923040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1902014-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor CurrentSince Feb 19, 2025 Accepting new patients

Locations

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

7140 Port Sylvania Dr
Toledo, OH 43617
Phone (567) 408-7242

2150 W Central Ave
Fl 2
Toledo, OH 43606
Phone (419) 291-5599

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1851904387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PORT SYLVANIA DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171176",
            "telephone_number": "567-408-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 W Central Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063834",
            "country_code": "US",
            "telephone_number": "567-277-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1902014-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.