Individual provider Active NPI

Natikca Nicole Robinson

  • Addiction (Substance Use Disorder) Counselor
  • North Chesterfield, VA
National Provider Identifier
1053636159
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103447 Issued in VA
Practice address
201 Marble Rd
North Chesterfield, VA 23236-3359
Phone
(804) 539-9033
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 0812000685 VA
Behavior Analyst 103K00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103447 VA Primary

Addresses

Primary practice location

201 Marble Rd
North Chesterfield, VA 23236-3359

Mailing address

201 Marble Rd
North Chesterfield, VA 23236-3359
Phone (804) 539-9033

Other practice location 1

21 Woodmere Dr Apt G
Petersburg, VA 23805-2142
Phone (804) 539-9033

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

State licenses

LicenseStateTypeSpecialty
0812000685VAMDCounselor
0710103447VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1053636159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARBLE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363359",
            "telephone_number": "804-539-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARBLE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363359",
            "telephone_number": "804-539-9033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Woodmere Dr Apt G",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238052142",
            "country_code": "US",
            "telephone_number": "804-539-9033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NATIKCA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "0812000685",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.