Provider Demographics
NPI:1699001628
Name:OAKS, ISAAC NEAL (MA, LMHP, LPC)
Entity type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:NEAL
Last Name:OAKS
Suffix:
Gender:M
Credentials:MA, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071-0446
Mailing Address - Country:US
Mailing Address - Phone:402-878-2911
Mailing Address - Fax:402-878-2027
Practice Address - Street 1:HWYS 77 /75
Practice Address - Street 2:IHS HOSPITAL
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071
Practice Address - Country:US
Practice Address - Phone:402-878-2911
Practice Address - Fax:402-878-2027
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE695101YM0800X
NE510101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional