Benjamin Roberts III

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3960 Issued in TN

Practice address

312 N Durham Ave
Gallatin, TN 37066-2756

Phone

(615) 200-3007

NPI assigned

Oct 10, 2017

Sex

Male

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

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

• Purposed Life, LLC

  • Professional Counselor
  • Gallatin, TN
  • NPI 1619574530
  Authorized official Same address or phone

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1326558842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 RODNEY ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663546",
            "telephone_number": "615-200-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N DURHAM AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662756",
            "telephone_number": "615-200-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BENJAMIN",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Risinger, DDS
• Grace Rittenberry
• Rene Grayce Robb, RBT
• Amber L Roberson, RBT
• Robert Todd McClure MDPC
• Benjamin Roberts Jr., LMFT
• Katherine Elizabeth Robertson, DPT
• Kimberly Ann Robinson, PHARM.D.
• Makenzi Rockwell, PA-C
• Rocky Mountain Holdings, LLC (Vanderbilt LifeFlight)

• Professional Counselor in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.