ISAAC OVERMILLER
NPI 1053702415
Counselor in Yakima, WA

Q: What is Isaac Overmiller's NPI number?

The NPI number for Isaac Overmiller is 1053702415. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Q: What is Isaac Overmiller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Isaac Overmiller was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2015PECOS EnrolledAccepts Medicare Assignment

307 S 12TH AVE STE 4B, YAKIMA, WA 98902(509) 575-8451(509) 453-1273 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017, Feb 17, 2017 (3 updates tracked since 2017).

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About Isaac Overmiller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISAAC OVERMILLER (NPI 1053702415) is an individual counselor in Yakima, Washington, licensed in Washington (LH60715312) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053702415

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameISAAC OVERMILLER

Location Address307 S 12TH AVE STE 4BYakima, WA 98902-3137

Mailing Address307 S 12th Ave Ste 4bYakima, WA 98902-3137 · (509) 575-8457 · Fax (509) 453-1273

Phone(509) 575-8451

Fax(509) 453-1273

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 6, 2015

Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration

NPPES CertifiedNovember 29, 2023

✔ NPI 1053702415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · LH60715312

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

307 S 12TH AVE STE 4B, Yakima, WA 98902

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Isaac Overmiller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668823774

PECOS Enrollment IDI20240112001233

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVFWC-BEHAVIORAL HEALTH SERVICES

Clinic/Center (Rehabilitation, Substance Use Disorder)