Lynette Roberts, CADC1, CRM, PSS,QMHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

210710194 Issued in OR

Practice address

908 NE 4TH St
Bend, OR 97701-4646

Phone

(541) 617-7365

Fax

(541) 312-6343

NPI assigned

Oct 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1477196087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014646",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LYNETTE",
        "credential": "CADC1, CRM, PSS,QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "23-QMHA-R-3797",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "18-CRM-371",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "210710194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Elena Roberto, DNP, APRN, NP-C
• Alison Rachael Roberts, ARNP
• Crystal Arlene Roberts, LMT
• Jon Brian Roberts
• Kelly M Roberts, CCC-SLP
• Maxwell D Roberts, RBAI
• Paul L Roberts, CRM
• Sally Ann Roberts
• Sean Roberts, M.S., L.P.C
• Steven Roberts, LPC

• Addiction (Substance Use Disorder) Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

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