Chaz Roberts

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

177 W Price Ave
South Salt Lake, UT 84115-4345

Phone

(385) 249-7390

NPI assigned

Apr 4, 2023

Sex

Male

Sole proprietor

No

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1336844711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3745 S APT 6",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841061992",
            "telephone_number": "385-249-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W PRICE AVE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154345",
            "telephone_number": "385-249-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHAZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": "175T00000X",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Richey, BSN, RN
• Rebecca Rick, RD, CSSD
• Jesscia Ricks
• Pedro Rico, CPSS
• Angela Robbins, LCSW
• Elyse Roberts, CMHC
• Derek Robison
• Ariela C Robles, LCSW
• Vanessa Rocha, CSW
• Cindy Zeigler Rogers

• Peer Specialist in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.