ISAIAH THOMAS TATUM (NPI# 1730746884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730746884 |
| Entity Type | Individual |
| Full Name | ISAIAH THOMAS TATUM |
| Credential | M.A. |
| Practice Address |
10 Boulder Crescent St Ste 102 Colorado Springs CO 80903-3350 |
| Practice Telephone | 7196338119 |
| Mailing Telephone | 7196338119 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427586866 | Isaiah Tatum | Behavioral Analyst | 345 Greenwood St Ste B, Worcester, MA 01607-1767 | 2017-05-30 |
| Street Address |
10 BOULDER CRESCENT ST STE 102 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325275 | Evelyn Joy Farmer | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903 | 2014-04-03 |
| 1952931420 | Robyn Elysia Ruetz | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2020-01-23 |
| 1699315069 | Paige Marie Kolcharno | Art Therapist | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2020-01-13 |
| 1396219937 | Suzanne Elizabeth Wilkinson | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2019-01-16 |
| 1194295014 | James Alvarado | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-12-04 |
| 1306315494 | Samantha Church | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-18 |
| 1891263620 | Chris Steven Bunn | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-09 |
| 1609369271 | Key Wellness, Inc. | Community/Behavioral Health | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1326655010 | Madeline Tormoen | Counselor | 2546 Indian Hills Grv, Colorado Springs, CO 80907-5977 | 2020-09-26 |
| 1144832890 | Theresa Hernandez | Counselor | 7561 Sun Prairie Dr, Colorado Springs, CO 80925-9567 | 2020-08-22 |
| 1396356200 | Croswaite Counseling, Pllc | Counselor | 1768 Silver Meadow Cir, Colorado Springs, CO 80951-9762 | 2020-08-13 |
| 1952911653 | Aurora Umana-arko | Counselor | 5475 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80918-3847 | 2020-08-06 |
| 1750990925 | Richard James Locke II | Counselor | 6238 San Mateo Dr, Colorado Springs, CO 80911-4007 | 2020-07-23 |
| 1578171914 | Susan Leslie Quinn | Counselor | 6562 Lange Dr, Colorado Springs, CO 80918-1631 | 2020-07-22 |
| 1679181549 | Kristen Simons | Counselor | 919 Ellston St, Colorado Springs, CO 80907-4119 | 2020-07-16 |
| 1295363992 | Katherine Daugaard | Counselor | 2865 Blake Dr, Colorado Springs, CO 80916-3346 | 2020-03-29 |
| 1013543677 | Shirley Noelle Turner Vancil | Counselor | 655 Southpointe Ct Ste 202, Colorado Springs, CO 80906-3859 | 2020-03-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on ISAIAH THOMAS TATUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.