KRYSTLE DAWN ROBERTSON (NPI# 1679105845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105845 |
| Entity Type | Individual |
| Full Name | KRYSTLE DAWN ROBERTSON |
| Practice Address |
200 E Frazier Ave Columbia KY 42728-1915 |
| Mailing Address |
130 Southern School Rd Somerset KY 42501-3223 |
| Practice Telephone | 2703432551 |
| Practice Fax Number | 2703432522 |
| Mailing Telephone | 6066794782 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
261612 | KY | Behavioral Health & Social Service Providers |
| Street Address |
200 E FRAZIER AVE |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952351041 | Mark Craycroft Hyatt | Psychiatry & Neurology | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2006-05-11 |
| 1194330985 | Jeremy K Burton | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2020-09-09 |
| 1932745601 | Dakota Stotts | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2019-11-18 |
| 1245889641 | Jessica Lacy | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2019-09-09 |
| 1417413303 | Theresa Stotts | Counselor | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2019-02-15 |
| 1336617109 | Donna Hoover | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2018-11-09 |
| 1720571300 | Jason Durbin | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2018-06-08 |
| 1164928644 | Misty H May | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2018-04-03 |
| 1760931778 | Sandra Atkinson | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2016-10-03 |
| 1063864791 | Ashly M Cox | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| Find all providers in zip 42728 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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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.