ISAAC OVERMILLER – Counselor, NPI 1053702415

ISAAC OVERMILLER is a healthcare provider. based in Yakima, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LH60715312 (WA). The NPI Number for ISAAC OVERMILLER is 1053702415

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ISAAC OVERMILLER
NPI
1053702415
Phone
(509) 453-1344
Address
918 E MEAD AVE
Enumeration Date
6 February 2015
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095751234
Graduation Year
2015 (11 years ago)
PAC ID
2668823774
Group Practice PAC ID
4385541986
Professional Enrollment ID
I20240112001233
Address ID
WA989023137YA307XXAVEX401
Telehealth
Yes

Contacts

Secure Messaging
iovermiller15379@yvfwc.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for ISAAC OVERMILLER

  • 918 E MEAD AVE

    YAKIMA, WA 989033720

    Phone: (509) 453-1344

    Fax: (509) 453-2209

    Type: Mailing

  • 307 S 12TH AVE STE 4B

    YAKIMA, WA 989023137

    Phone: (509) 575-8457

    Fax: (509) 453-1273

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240112001233IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385541986View full group profile
NameSpecialtyState
Physician AssistantWA
Internal MedicineWA
-WA
-WA
Family PracticeWA
Mental Health CounselorWA
Family PracticeWA
Family PracticeWA
Internal MedicineWA
Physician AssistantWA

Reviews

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Frequently asked questions

What number should I use to identify ISAAC OVERMILLER for billing?
Administrative and clinical systems typically use NPI 1053702415 for ISAAC OVERMILLER.
Does the public listing show ISAAC OVERMILLER as active?
ISAAC OVERMILLER's NPI record reflects an active status in NPPES.
How should patients interpret ISAAC OVERMILLER's specialty?
The extract shows Counselor for ISAAC OVERMILLER. Clinical services aligned with this taxonomy classification.
What city is tied to ISAAC OVERMILLER?
The directory associates ISAAC OVERMILLER with Yakima, Washington. Check all listed addresses for suites or satellite offices.
Who maintains ISAAC OVERMILLER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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