Terry Ann Roberts, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60247530 Issued in WA

Practice address

3710 N Monroe St
Spokane, WA 99205-2850

Phone

(509) 328-5234

Fax

(509) 328-2358

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverside Recovery Center

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1396895496
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1124880745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052850",
            "telephone_number": "509-328-5234",
            "fax_number": "509-328-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052850",
            "telephone_number": "509-328-5234",
            "fax_number": "509-328-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60247530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Roberts, M.D.
• Michael David Roberts, M.ED., LMHC
• Rachel Elizabeth Roberts, MA
• Susan Lynn Roberts
• Sydney M Roberts, BA
• Carla Robertson, DPT
• Craig I Robertson, PA-C
• Emily Jane Robertson, CRNA
• Jaelynn Lee Robertson
• Karen Ann Robertson, P.T.

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.