PROF. MICHELLE DAWN ROBERTS (NPI# 1104318476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104318476 |
| Entity Type | Individual |
| Full Name | PROF. MICHELLE DAWN ROBERTS |
| Other Name | PROF. MICHELLE DAWN ROBERTS |
| Credential | LPC, NCC |
| Practice Address |
1034 S Brentwood Blvd Ste 555 Saint Louis MO 63117-1265 |
| Practice Telephone | 5034844078 |
| Mailing Telephone | 5034844078 |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2016040414 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950616 | Michelle Roberts | Physician Assistant | 2317 Via Cascabel, Escondido, CA 92027-4821 | 2020-04-06 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1730666777 | Michelle Embree Roberts | Massage Therapist | 679 E Harbor Dr # 140, Warrenton, OR 97146-9717 | 2018-07-23 |
| 1962927566 | Michelle Roberts | Physical Therapist | 244 Olmsted Blvd Ste B, Pinehurst, NC 28374-6003 | 2017-08-04 |
| 1790142420 | Michelle Roberts | Rehabilitation Practitioner | 1115 Badger Circle, Ventura, CA 93003 | 2016-01-26 |
| 1861894099 | Michelle Perez Roberts | Speech-Language Pathologist | 3238 Bent Oak Rd, Pensacola, FL 32526-2843 | 2014-09-18 |
| 1669718730 | Michelle Roberts | Counselor | 4431 N Emerson Ave, Fresno, CA 93705-1204 | 2012-12-18 |
| 1386933851 | Michelle Diane Roberts | Home Health | 3012 Isabella St, Midland, MI 48640-6423 | 2011-04-05 |
| 1689888026 | Michelle Renee' Roberts | Licensed Practical Nurse | 725 Millikin St, Hamilton, OH 45013-3448 | 2007-05-09 |
| 1073562336 | Michelle L Roberts | Pediatrics | 1872 N. Lake Forest Dr., Mckinney, TX 75071 | 2006-05-06 |
| Street Address |
1034 S BRENTWOOD BLVD STE 555 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053691444 | Sandra Eileen Miller | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2011-08-17 |
| 1245850056 | Phoenix Behavioral Health | Counselor | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2020-04-22 |
| 1366077232 | Healers Hive | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2020-03-11 |
| 1033677257 | Midwest Trauma Recovery Center | Clinic/Center | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2019-03-06 |
| 1922570050 | Innerstrength Counseling, LLC | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-31 |
| 1043782261 | William Mccadden | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-28 |
| 1457823759 | Jessica P Varner | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-26 |
| 1245710250 | The Whole You Wellness and Counseling Center LLC | Clinic/Center | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 | 2018-08-19 |
| 1639684921 | Mekeya Jama | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 | 2017-12-07 |
| 1255843298 | Bridget Marie Kiely | Counselor | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on PROF. MICHELLE DAWN ROBERTS.
| 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.