Freddie Roberson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7250 Issued in CA

Practice address

4705 N Sonora Ave
Fresno, CA 93722-3966

Phone

(559) 276-7558

NPI assigned

Mar 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1073218129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 E BULLDOG LN APT G",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107208",
            "telephone_number": "925-437-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223966",
            "telephone_number": "559-276-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705 N Sonora Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223965",
            "country_code": "US",
            "telephone_number": "559-276-7558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 N Sonora Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223965",
            "country_code": "US",
            "telephone_number": "559-276-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "FREDDIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A5135917",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Denise Robbins
• Cora Sue Robbins, NP
• Grant Anthony Robbins, PTA
• Katarina A Robbins
• Sandra Valadao Robbins
• Geralyn Alyssa Roberson, NP-C
• Jesse Roberson
• Sarah Roberson
• Robert a Smith DDS Inc
• Robert a. Graham Medical Corporation

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.