Lisa N Robertson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2150 N Tenaya Way Apt 2143
Las Vegas, NV 89128-0414

Phone

(702) 980-4037

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1104568435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N TENAYA WAY APT 2143",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280414",
            "telephone_number": "702-980-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N TENAYA WAY APT 2143",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280414",
            "telephone_number": "702-980-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LISA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lisa-robertson.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Business URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Share information",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2150 N Tenaya Way Apt 2143",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891280414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Robertson
• Cristy Robertson, MD
• Danneshia Deshai-Lynn Robertson
• Joshua Robertson
• Laquinta Jeanette Robertson
• Maurice Devon Robertson
• Mercedes Robertson
• Micah Robertson
• Natasha Robertson
• Olivia Robertson

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.