Ishah Nicoll Roads, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4672 Issued in OR

Practice address

3024 NE 63Rd Ave
Portland, OR 97213-4510

Phone

(541) 270-6466

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sonoran Sun Wellness, LLC

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1427757541
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1972860724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5462",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615462",
            "telephone_number": "541-270-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "541-270-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6426 E Turquoise Ave",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531348",
            "country_code": "US",
            "telephone_number": "541-270-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROADS",
        "first_name": "ISHAH",
        "middle_name": "NICOLL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC21233",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP
• Alicia Marie Roach
• Emily Ann Roach
• Jessica Tranell, Nanice Roach
• Patrick Brian Roach, DO, MPH
• Emy Lorena Roady, RDH
• Kami Roake, PHARM D
• Daniel Eugene Roanhorse Meier, LPC
• Naomi Roanhorse Thomas
• Hailey Roark, DC

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.