DEBRA ROBERTS (NPI# 1255817151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255817151 |
| Entity Type | Individual |
| Full Name | DEBRA ROBERTS |
| Credential | SAC-IT |
| Practice Address |
1610 Evergreen Rd Wausau WI 54403-2031 |
| Practice Telephone | 7152970972 |
| Mailing Telephone | 7152970972 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18434-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780759662 | Debra Kim Roberts | Psychologist | 211 Perimeter Center Pkwy Ne, Suite 910, Atlanta, GA 30346-1308 | 2006-11-23 |
| 1649386442 | Debra L. Roberts | Family Medicine | 60 Bay Spring Avenue, 6b, Barrington, RI 02806-1386 | 2006-08-22 |
| 1255977104 | Debra Roberts | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1861621948 | Debra E Roberts | Internal Medicine | 601 Elmwood Ave, Box 278984, Rochester, NY 14642-0001 | 2009-07-09 |
| 1356549497 | Debra Gale Roberts | Nurse Practitioner | 6079 N Fresno St, Suite 101, Fresno, CA 93710-5276 | 2007-07-10 |
| 1043384787 | Debra L Roberts | Counselor | 128 Merchants Row, Suite 611- 612, Rutland, VT 05701-5911 | 2006-11-17 |
| 1689645343 | Debra A Roberts | Counselor | 100 S 1000 W, Tooele, UT 84074-4010 | 2006-01-31 |
| 1093704074 | Debra Wood Roberts | Physical Therapist | 10721 Smetana Rd, Suite 220, Minnetonka, MN 55343-8080 | 2005-10-21 |
| 1356335590 | Debra Roberts | Family Medicine | 824 N 11th St, Montevideo, MN 56265-1629 | 2005-09-02 |
| Street Address |
1610 EVERGREEN RD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780191973 | Kristina M. Mauk | Counselor | 500 N 3rd St Ste 220, Wausau, WI 54403-4857 | 2018-01-09 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1053643403 | Melanie Strand-glatczak | Counselor | 630 S 36th Ave, Wausau, WI 54401-3930 | 2010-02-10 |
| 1689909335 | Laura L Goergen | Counselor | 1720 Merrill Ave Ste 401, Wausau, WI 54401-3427 | 2009-10-14 |
| 1619168184 | Rania Mae Brown | Counselor | 209 W Washington St Ste B, Wausau, WI 54403-5475 | 2007-08-08 |
| 1457493280 | Gary Gene Grote | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-02-12 |
| 1346389269 | Deborah Ann Piskoty | Counselor | 741 N 1st St, Wausau, WI 54403-4721 | 2007-02-06 |
| 1730273616 | Family Counseling Service of Wausau Inc. | Counselor | 903 2nd St, Wausau, WI 54403-4705 | 2006-10-03 |
| 1265537484 | Ian Jeffrey Agar | Counselor | Wausau Veterans Outpatient Clinic, 515 S. 32nd Avenue, Wausau, WI 54401 | 2006-09-13 |
| 1922657345 | Carmen Letarski | Counselor | 903 N 2nd St, Wausau, WI 54403-4702 | 2019-09-09 |
| Find all providers in WAUSAU | ||||
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| 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.