Boni-Lou Tamara Roberts, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0907 Issued in GA

Practice address

2402 Tift Ave N Ste 202
Tifton, GA 31794-1885

Phone

(229) 382-7898

Fax

(229) 386-5818

NPI assigned

Mar 19, 2018

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

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1558865386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CANTERBURY CT APT N15",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317076636",
            "telephone_number": "229-344-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 TIFT AVE N STE 202",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941885",
            "telephone_number": "229-382-7898",
            "fax_number": "229-386-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BONI-LOU",
        "middle_name": "TAMARA",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven W Rigdon, MD
• Ashley D Ring, NP
• Megan Robbins, FNP-C
• Leanette S Roberson, MA LPC
• Robert a Hill DDS PC
• John William Roberts II
• Justin Hugh Roberts, PA-C
• Kathy Lawson Roberts, SLP
• Marcus Carroll Roberts, M.D.
• Brent Jospeh Robison, CRNA

• Addiction (Substance Use Disorder) Counselor in Tifton, GA
• Providers in Tifton, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.