Kevin Roberts, BA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1076 Route 47 S
Rio Grande, NJ 08242-1608

Phone

(609) 741-6363

NPI assigned

Aug 14, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Male

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

Credentials

Bachelor of Arts

Practice roles

Locations

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.

• Cooperative Care Partnership, Inc

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1477898096
  NPD
• Cooperative Care Partnership, Inc.

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1598124828
  NPD (past)

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1750267639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 ROUTE 47 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421608",
            "telephone_number": "609-741-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 ROUTE 47 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421608",
            "telephone_number": "609-741-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KEVIN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Rauchut, PMHNP-BC
• Regenerative Medicine of South Jersey LLC (Active Spine and Joint Institute)
• Helen Margaret Renyo
• Timothy Joseph Renyo, D
• Robert J Manoli OD and Associates PC
• Elise Marie Rohana, APN-C
• Louvens Romain, MD
• Victoria Summer Rose, M.D.
• Gerard Rosenberg, LAC
• Lauren Ruef, MSW LCSW

• Addiction (Substance Use Disorder) Counselor in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.