MS. CAROL LYNN ROBERTS (NPI# 1992005193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992005193 |
| Entity Type | Individual |
| Full Name | MS. CAROL LYNN ROBERTS |
| Credential | MA, LPC |
| Practice Address |
400 Ne 7th St Gresham OR 97030-5604 |
| Mailing Address |
820 Nw 21st Ave Ste B Portland OR 97209 |
| Practice Telephone | 5036615455 |
| Practice Fax Number | 5036614959 |
| Mailing Telephone | 5037407547 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2013-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346676137 | Carol Christine Roberts | Counselor | 6105 S Main St Ste 200, Aurora, CO 80016-5361 | 2013-09-25 |
| 1912252008 | Carol Constance Roberts | Counselor | 10250 Us Hwy 93 S, Lolo, MT 59847-9645 | 2012-07-16 |
| 1649423096 | Carol Margaret Roberts | Preferred Provider Organization | 5811 Cedar Lake Road, St Louis Park, MN 55416 | 2008-10-29 |
| 1720018864 | Carol H Roberts | Psychologist | 1029 Wyndon Ave, Child Study Institute, Bryn Mawr, PA 19010-2823 | 2006-07-04 |
| 1619948239 | Carol Ann Roberts | Registered Nurse | 12 Saint Louis Ave, Gloucester, MA 01930-4420 | 2006-01-31 |
| 1821244351 | Carol Leigh Roberts | Licensed Practical Nurse | 500 Highway 89 North, Prescott, AZ 86313 | 2008-08-15 |
| 1962676684 | Carol Louise Roberts | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1619153129 | Carol A. Roberts | Speech-Language Pathologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2008-01-15 |
| 1316063902 | Carol Denise Roberts | Marriage & Family Therapist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2007-03-22 |
| 1912043613 | Carol Lynn Roberts | Massage Therapist | 904 E Chestnut St, Bellingham, WA 98225-5223 | 2007-01-29 |
| Street Address |
400 NE 7TH ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171323 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 400 Ne 7th St, Gresham, OR 97030-5604 | 2006-06-12 |
| 1235798372 | Timothy Hadden | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2019-06-12 |
| 1356810493 | Simona Vazquez-sartori | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2018-11-19 |
| 1023540283 | Rachel Tolon | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-03-28 |
| 1831638592 | Mackenzie Rae Arrell | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-02-14 |
| 1366989519 | Sharon Simonds | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-01-26 |
| 1265977888 | Ian Z Schroeder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2017-01-05 |
| 1851835326 | Ashley Turley | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-12-18 |
| 1649628645 | Kelly Snyder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2016-05-31 |
| 1093160616 | Alyssa Wirthlin | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236628 | Ramon Benton | Counselor | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2018-02-21 |
| 1316450265 | Philisia Roquez | Counselor | 621 Ne Kane Dr Apt 102, Gresham, OR 97030-5968 | 2017-11-14 |
| 1184142283 | Jami L Stephens | Counselor | 406 Ne 4th St Ste 110, Gresham, OR 97030-7496 | 2017-09-08 |
| 1770940645 | Kristen Brooke Beck | Counselor | 406 Ne 4th St Ste 126, Gresham, OR 97030-7496 | 2016-01-24 |
| 1932565363 | Cheyenne Marie Jones | Counselor | 254 Nw Burnside Rd Ste 230, Gresham, OR 97030-3836 | 2016-01-14 |
| 1679939920 | Alycia Smith | Counselor | 320 N Main Ave Ste 201d, Gresham, OR 97030-7242 | 2015-12-31 |
| 1538530159 | Jamie Saechao | Counselor | 429 Se 218th Ave, Gresham, OR 97030-8502 | 2015-10-08 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1346649860 | Jade Elisabeth Elaine Thayer | Counselor | 847 Se Francis Ave, Gresham, OR 97080-1343 | 2014-08-20 |
| 1639429137 | Janet Elaine Young | Counselor | 32300 Se Bluff Rd, Gresham, OR 97080-8822 | 2012-09-12 |
| Find all providers in GRESHAM | ||||
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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.