ANTHONY BERNARD ROBERTS (NPI# 1891178109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891178109 |
| Entity Type | Individual |
| Full Name | ANTHONY BERNARD ROBERTS |
| Credential | LPCC, LCADC |
| Practice Address |
126 E Evelyn Ave Monticello KY 42633-1210 |
| Practice Telephone | 6063480440 |
| Practice Fax Number | 6063480440 |
| Mailing Telephone | 6063480440 |
| Mailing Fax Number | 6063480440 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
164870 | KY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
166605 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100374120 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 298 Bogle St Ste A, Somerset, KY 425032836 | 8592126806 | 6064513367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760572879 | Anthony Ray Roberts | Contractor | 431 Nw 47th St, Oklahoma City, OK 73118-8211 | 2006-10-13 |
| 1316933625 | Anthony Erwin Roberts | Chiropractor | 4877 Ashworth Rd, Mariposa, CA 95338 | 2005-09-22 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1184269938 | Anthony Roberts | Counselor | 901 Industrial Dr Ste 200, Wildwood, FL 34785-4707 | 2019-11-14 |
| 1275928319 | Anthony Roberts | Behavioral Analyst | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2015-04-06 |
| 1548658008 | Anthony Roberts | Occupational Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2015-01-06 |
| 1730595547 | Anthony Roberts | Pharmacist | 305 Hawthorn Ave, Saint Charles, MO 63301-1402 | 2014-07-01 |
| 1962590844 | Anthony Orville Roberts | Ophthalmology | 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 | 2006-10-10 |
| Street Address |
126 E EVELYN AVE |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629519921 | True To You Counseling Service LLC | Community/Behavioral Health | 126 E Evelyn Ave, Monticello, KY 42633 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615299 | William Raleigh Hollon IIi | Counselor | 55 Surrey Hill Rd, Monticello, KY 42633-2320 | 2019-12-03 |
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| 1144738816 | Kaylas Place | Counselor | 41 Sheldon Dr, Monticello, NY 12701-4122 | 2018-01-16 |
| 1578079109 | Patsy R Catron | Counselor | 45 Surrey Hill Rd, Monticello, KY 42633-2320 | 2017-12-19 |
| 1194133116 | Jessica Pusc | Counselor | 4300 School Blvd, Suite 107, Monticello, MN 55362-4679 | 2014-07-23 |
| 1013201847 | Kathleen Rose-penkala Massmann | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2011-06-09 |
| 1629256805 | Johanna Mary Gersten | Counselor | 390 Broadway, Monticello, NY 12701-1157 | 2008-02-10 |
| 1487786539 | Ayd & Cavanagh, LLC | Counselor | 9007 Kagan Ave Ne, Monticello, MN 55362-4535 | 2007-03-12 |
| 1821128422 | Fred Pefferkorn | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2007-03-06 |
| 1306971338 | Joyce Bolin | Counselor | 802 W Columbia Ave, Monticello, KY 42633-1630 | 2007-02-22 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on ANTHONY BERNARD 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.