Individual provider Active NPI

Robert Lavar Robinson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Jerome, ID
National Provider Identifier
1639433352
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2226 Issued in ID
Practice address
167 Country LN
Jerome, ID 83338-6147
Phone
(208) 324-2443
Fax
(208) 644-1167
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2226 ID Primary

Addresses

Primary practice location

167 Country LN
Jerome, ID 83338-6147

Mailing address

113 E Avenue F
Jerome, ID 83338-3132
Phone (208) 219-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000214 ID Practitioner - Qualified Speech Language Pathologist 6507022209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Therapy Services IncGroup PAC ID 2567528557, 3 clinicians

Practice addresses (Care Compare)

1411 Falls Ave E
Suite 1203
Twin Falls, ID 83301-3786
Phone (208) 733-2661

167 Country LN
Jerome, ID 83338-6147
Phone (208) 324-2443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-2226IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Therapy Services, Inc. Speech-Language Pathologist CurrentSince Jun 1, 2012 Accepting new patients

Locations

167 Country Ln
Jerome, ID 83338
Phone (208) 324-2443

113 E Avenue F
Jerome, ID 83338
Phone (208) 324-2443

1411 Falls Ave E
Ste 1203
Twin Falls, ID 83301
Phone (208) 733-2661

Organizations & group practices 2

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1639433352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E AVENUE F",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833383132",
            "telephone_number": "208-219-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 COUNTRY LN",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386147",
            "telephone_number": "208-324-2443",
            "fax_number": "208-644-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROBERT",
        "middle_name": "LAVAR",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerome, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.