JASON RYAN ROBERTS (NPI# 1396098943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396098943 |
| Entity Type | Individual |
| Full Name | JASON RYAN ROBERTS |
| Credential | M.ED. |
| Practice Address |
124 Mallard St. Greenville SC 29601-4046 |
| Practice Telephone | 8642411040 |
| Practice Fax Number | 8642418189 |
| Mailing Telephone | 8642411040 |
| Mailing Fax Number | 8642418189 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 301100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271607 | Jason A Roberts | Counselor | 94-1345 Kulewa Loop # 18a, Waipahu, HI 96797-4373 | 2020-07-03 |
| 1114571130 | Jason William Roberts | Nurse Practitioner | 9427 Eastside Drive Ext Ste A, Newton, MS 39345-8063 | 2019-07-29 |
| 1710470109 | Jason Carlo Roberts | Physical Therapist | 261 Mack, Detroit, MI 48201 | 2018-06-11 |
| 1003269895 | Jason Roberts | Nurse Practitioner | 199 Longview Dr, Rockford, MI 49341-1130 | 2016-07-18 |
| 1851763585 | Jason Evan Roberts | Marriage & Family Therapist | 105 Fidelity St. (a-51), Carrboro, NC 27510 | 2015-10-21 |
| 1528437662 | Jason Roberts | Contractor | 10814 Wilkins Rd, Rougemont, NC 27572 | 2015-09-18 |
| 1073882288 | Jason E Roberts | Physical Therapist | 987565 Nebraska Medical Ctr, Omaha, NE 68198-7565 | 2011-12-16 |
| 1386734630 | Jason Warrah Roberts | Chiropractor | 1508 Santa Fe Dr Ste 102, Weatherford, TX 76086-5859 | 2006-10-14 |
| 1811900343 | Jason L. Roberts | Specialist/Technologist | 600 Fontana Blvd # D, Havelock, NC 28532-3104 | 2006-08-14 |
| 1487630034 | Jason Trevor Roberts | Specialist/Technologist | 1000 Elysian Park Ave, Los Angeles, CA 90012-1112 | 2005-12-15 |
| Street Address |
124 MALLARD ST. |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841446523 | Rebecca Marie Marte | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2008-08-13 |
| 1023352606 | Ginamarie Hackett Kincaid | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2012-11-20 |
| 1225384605 | Aja Joi Hendrix | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2012-08-03 |
| 1538429394 | Joseph Emmanuel Carvajal | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2012-05-25 |
| 1689963639 | Nancy B Cordova Lell | Registered Nurse | 124 Mallard St., Greenville, SC 29601-4046 | 2011-03-30 |
| 1235438292 | Latrice M. Beavers | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2011-03-16 |
| 1699074658 | Travis W Cain | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2011-03-16 |
| 1437457322 | Lauren Shea Kropiwnicki | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2011-03-02 |
| 1326340035 | Corletta Danaya Brown | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2010-12-01 |
| 1750691614 | Toney Rashawn Mealing | Counselor | 124 Mallard St., Greenville, SC 29601-4046 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522586 | Samuel Bethea Cann V | Counselor | 212 Whitsett St, Greenville, SC 29601-3141 | 2019-11-15 |
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1457993123 | Innovation Counseling Services | Counselor | 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 | 2019-10-14 |
| 1316591498 | Nelzarie I Wynn | Counselor | 151 Commons Way, Greenville, SC 29611-3850 | 2019-07-28 |
| 1356809990 | Atlantic Consulting and Therapy Specialists, Pa | Counselor | 3493-e Evans Street, Greenville, NC 27834-4535 | 2019-03-02 |
| 1710462916 | Bennett's Counseling Services | Counselor | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2018-10-03 |
| 1154839694 | Tiffany Nicole Ceasar | Counselor | 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 | 2018-01-18 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1629591391 | Tenesha Marshall | Counselor | 365 W Reed Rd # A-1, Greenville, MS 38701-6967 | 2017-07-25 |
| 1871016428 | Damon Loren Rappleyea | Counselor | 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 | 2017-07-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
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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.