Individual provider Active NPI

Thomas Barrett Roberts, LCSW, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Onalaska, WI
National Provider Identifier
1669524393
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
724 Issued in WI
Practice address
1401 Main St
Suite 102
Onalaska, WI 54650-2858
Phone
(608) 783-2186
Fax
(608) 781-3405
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 724 WI Primary
Clinical Social Worker 1041C0700X 3841-123 WI
Marriage & Family Therapist 106H00000X 59-124 WI

Addresses

Primary practice location

1401 Main St
Suite 102
Onalaska, WI 54650-2858

Mailing address

1401 Main St
Suite 102
Onalaska, WI 54650-2858
Phone (608) 783-2186

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

LicenseStateTypeSpecialty
724WIMDAddiction (Substance Use Disorder) Counselor
3841-123WIMDClinical Social Worker
59-124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669524393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MAIN ST",
            "address_2": "SUITE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502858",
            "telephone_number": "608-783-2186",
            "fax_number": "608-781-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MAIN ST",
            "address_2": "SUITE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502858",
            "telephone_number": "608-783-2186",
            "fax_number": "608-781-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "THOMAS",
        "middle_name": "BARRETT",
        "name_prefix": "Mr.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "724",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3841-123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "59-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.