Active NPI
Gary Roy Roberts, CASAC
- Addiction (Substance Use Disorder) Counselor
- Wampsville, NY
National Provider Identifier
1346284585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6486
- Practice address
- 138 North Court Street
Wampsville, NY 13163 - Phone
- (315) 366-2327
- Fax
- (315) 366-2599
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6486 | NY | Primary |
Addresses
Primary practice location
138 North Court Street
Wampsville, NY 13163
Mailing address
84 Fox Hill Rd
Lee Center, NY 13363-3014
Phone (315) 339-6730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6486 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346284585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 FOX HILL RD",
"city": "LEE CENTER",
"state": "NY",
"postal_code": "133633014",
"telephone_number": "315-339-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 NORTH COURT STREET",
"city": "WAMPSVILLE",
"state": "NY",
"postal_code": "13163",
"telephone_number": "315-366-2327",
"fax_number": "315-366-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GARY",
"middle_name": "ROY",
"name_prefix": "Mr.",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "6486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wampsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.