Active NPI
Roberta J Stinson, MAC, LMAC, LADC, LAT
- Addiction (Substance Use Disorder) Counselor
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1517
- Practice address
- 4227 9TH Ave S
Fargo, ND 58103-2018 - Phone
- (701) 282-6561
- Fax
- (651) 925-0046
- NPI assigned
- Mar 27, 2008
- Last updated
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-359 | WY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302304 | MN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1517 | ND | Primary |
Addresses
Primary practice location
4227 9TH Ave S
Fargo, ND 58103-2018
Mailing address
4227 9TH Ave SW
Fargo, ND 58103-2018
Phone (701) 282-6564
Other practice location 1
505 40th St S Unit B
Fargo, ND 58103-1184
Phone (701) 282-6561
Other names 1
- Roberta Griffin-Stinson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | askacounselor@sharehouse.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302304 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| LAT-359 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| 1517 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| Sharehouse Genesis | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients |
Locations
1841 Madora Ave
Douglas, WY 82633
190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764
821 Sage Ave
Kemmerer, WY 83101
Phone (307) 877-4466
721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156
121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138
Interoperability endpoints
- askacounselor@sharehouse.org
Organizations & group practices 13
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
-
- Recovery Care Clinic/Center
- Rawlins, WY
- NPI 1861698524
-
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1356576979
-
- Recovery Care Clinic/Center
- Pinedale, WY
- NPI 1063794394
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Douglas, WY
- NPI 1134890650
-
- Recovery Care Clinic/Center
- Evanston, WY
- NPI 1174805402
-
dba Wellspring Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Thermopolis, WY
- NPI 1235350034
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
- NPI 1295379865
-
- Recovery Care Clinic/Center
- Douglas, WY
- NPI 1467123984
-
- Community/Behavioral Health Agency
- Rawlins, WY
- NPI 1780712380
-
- Recovery Care Clinic/Center
- Kemmerer, WY
- NPI 1790067031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1740452093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 9TH AVE SW",
"city": "FARGO",
"state": "ND",
"postal_code": "581032018",
"telephone_number": "701-282-6564",
"fax_number": "701-277-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4227 9TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032018",
"telephone_number": "701-282-6561",
"fax_number": "651-925-0046"
}
],
"practiceLocations": [
{
"address_1": "505 40th St S Unit B",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581031184",
"country_code": "US",
"telephone_number": "701-282-6561",
"fax_number": "651-925-0046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STINSON",
"first_name": "ROBERTA",
"middle_name": "J",
"credential": "MAC, LMAC, LADC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT-359",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302304",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1517",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "askacounselor@sharehouse.org",
"affiliation": "N",
"endpointDescription": "Ask a counselor email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "4227 9th Ave S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581032018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "GRIFFIN-STINSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.