Individual provider Active NPI

Robin Hebert

  • Mental Health Counselor
  • Kingsport, TN
National Provider Identifier
1538638499
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
151 Wendover Dr Ste B
Kingsport, TN 37663-2655
Phone
(423) 712-1176
Fax
(423) 717-5536
NPI assigned
Nov 20, 2018
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

151 Wendover Dr Ste B
Kingsport, TN 37663-2655

Mailing address

119 Boone Ridge Dr Ste 301
Johnson City, TN 37615-8001
Phone (530) 306-4281

Other practice location 1

119 Boone Ridge Dr Ste 301
Johnson City, TN 37615-8001
Phone (530) 306-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000276 TN Practitioner - Mental Health Counselor 3971031485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Wendover Dr
Suite B
Kingsport, TN 37663-2655
Phone (423) 712-1176

151 Wendover Dr B
Kingsport, TN 37663-2655

4128 Fort Henry Dr
Suite D125
Kingsport, TN 37663-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6636TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Wellness Center PLLC CurrentSince Dec 4, 2024 Accepting new patients
Using Athletics to Cope CurrentSince Sep 13, 2025 Accepting new patients
Life Connections Autism Services PastSince Apr 1, 2023 Accepting new patients

Locations

151 Wendover Dr
Ste B
Kingsport, TN 37663
Phone (423) 712-1176

4128 Fort Henry Dr
Ste D125
Kingsport, TN 37663

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1538638499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR STE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376158001",
            "telephone_number": "530-306-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WENDOVER DR STE B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632655",
            "telephone_number": "423-712-1176",
            "fax_number": "423-717-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Boone Ridge Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376158001",
            "country_code": "US",
            "telephone_number": "530-306-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.