AUBURN AMANDA ROBERTSON (NPI# 1477934586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477934586 |
| Entity Type | Individual |
| Full Name | AUBURN AMANDA ROBERTSON |
| Credential | LMFT |
| Practice Address |
1013 Sage St Evanston WY 82930-3448 |
| Practice Telephone | 2089955003 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
1013 SAGE ST |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1306309802 | The Center for Wellness Encounters | Marriage & Family Therapist | 2121 Sheridan Rd, Evanston, IL 60201-2926 | 2019-04-11 |
| 1881167468 | Connections Health, LLC | Marriage & Family Therapist | 1854 Sherman Ave, Evanston, IL 60201-3795 | 2019-01-07 |
| 1942714084 | Shoreline Psychotherapy LLC | Marriage & Family Therapist | 1940 Sherman Ave Ste A, Evanston, IL 60201 | 2017-11-28 |
| 1821537978 | Clea Rose Mirza James | Marriage & Family Therapist | 636 Church St Ste 309, Evanston, IL 60201-6030 | 2017-02-21 |
| 1386190353 | Mark Vaughan | Marriage & Family Therapist | 2934 Central St Ste C3, Evanston, IL 60201-5201 | 2016-08-30 |
| 1427493030 | Michelle Gossett | Marriage & Family Therapist | 626 Grove St Ste 207, Evanston, IL 60201-4475 | 2013-05-08 |
| 1184958258 | Jodi Michelle Smith-cohen | Marriage & Family Therapist | 2956 Central St, Evanston, IL 60201-1246 | 2009-09-23 |
| 1922232487 | Jennifer L Mccomb | Marriage & Family Therapist | 1830 Sherman Ave Ste 205, Evanston, IL 60201-3771 | 2009-05-12 |
| 1013044171 | David I Klow | Marriage & Family Therapist | 2436 Cowper Ave, Evanston, IL 60201-1846 | 2007-02-27 |
| Find all providers in EVANSTON | ||||
Please comment or provide details below to improve the information on AUBURN AMANDA ROBERTSON.
| 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.