Active NPI
Robby Alex Poore
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
National Provider Identifier
1003768706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 123 19TH St NE
Watertown, SD 57201-2823 - Phone
- (605) 886-0123
- Fax
- (605) 886-5447
- NPI assigned
- Feb 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
123 19TH St NE
Watertown, SD 57201-2823
Mailing address
123 19TH St NE
Watertown, SD 57201-2823
Phone (605) 886-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1003768706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012823",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012823",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE",
"first_name": "ROBBY",
"middle_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
- Kristen Marie Pickrel, MD
- Tracy John Pierret, MD
- Susan Jo Pietz, O.D.
- Nicholas Charles Pillatzke, DC
- Kayla Ann Pinkert
- Ryan Frederick Poppe, RN
- Jill Anita Pownell, O.D.
- Prairie Lakes Health Care System Inc
- Prairie Lakes Health Care System Inc (Prairie Lakes Kidney Dialysis Watertown)
- Prairie Lakes Health Care System Inc (Sanford Home Health Watertown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.