Shelby A. Robbins, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16556-132 Issued in WI

Practice address

630 Cherry St
Green Bay, WI 54301-4931

Phone

(920) 435-2093

NPI assigned

Jun 18, 2018

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jackie Nitschke Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Green Bay, WI
  • NPI 1265642318
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1629562228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014931",
            "telephone_number": "920-435-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014931",
            "telephone_number": "920-435-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543014001",
            "country_code": "US",
            "telephone_number": "920-435-2093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "SHELBY",
        "middle_name": "A.",
        "name_prefix": "Miss",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18576-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16556-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ritchay, PHD
• Samantha F Ritchie, MA
• Shelley Riutta, MSE
• Shiloe Elaine Rivas
• Sandra D Rivera, LPC IT
• Teresa A Robbins, LPC, CSAC
• Robert H Wagner Family Dentist S.C.
• Ashley J Roberts, OTR
• Audrey Roberts
• Amanda J Robertson, PA-C

• Addiction (Substance Use Disorder) Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.