Lisa Roberts

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1758 Issued in TN

Practice address

930 Adell Ree Park LN
Knoxville, TN 37909-2543

Phone

(865) 769-2600

Fax

(865) 769-2616

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

No

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

Locations

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.

• Jason Della Vecchia MD PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Kingsport, TN
  • NPI 1053191866
  NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1437494374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PINEBROOK DR STE 4",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604365",
            "telephone_number": "423-251-6670",
            "fax_number": "423-251-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ADELL REE PARK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092543",
            "telephone_number": "865-769-2600",
            "fax_number": "865-769-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Pinebrook Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604365",
            "country_code": "US",
            "telephone_number": "423-251-6670",
            "fax_number": "423-251-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Daisy Roberts, RBT
• Kimberly H Roberts, M.D.
• Laura Ann Roberts
• Lauren Taylor Roberts, LCSW
• Lesley Young Roberts, ADVANCED PRACTICE NU
• Maria Roberts, MS OTR/L
• Mary Katherine Roberts, MSN, APRN, FNP-C
• Matthew G Roberts, RBT
• Melissa Biafore Roberts, BCBA, LBA
• Nicole Elaine Roberts

• Addiction (Substance Use Disorder) Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.