Active NPI
Justin E Roybal
- Counselor
- Yakima, WA
National Provider Identifier
1548498926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC60102630
- Practice address
- 1204 Westbrook Loop # B
Yakima, WA 98908-1987 - Phone
- (509) 822-8510
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC60102630 | WA | Primary |
Addresses
Primary practice location
1204 Westbrook Loop # B
Yakima, WA 98908-1987
Mailing address
1204 Westbrook Loop # B
Yakima, WA 98908-1987
Phone (509) 822-8510
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 |
|---|---|---|---|
| RC60102630 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1548498926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 WESTBROOK LOOP # B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081987",
"telephone_number": "509-822-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 WESTBROOK LOOP # B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081987",
"telephone_number": "509-822-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYBAL",
"first_name": "JUSTIN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC60102630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.