Kaitlyn Mae Robertson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2204362 Issued in OH

Practice address

1900 Fairgrove Ave
Hamilton, OH 45011-1966

Phone

(513) 785-4895

Fax

(513) 785-4896

NPI assigned

Jul 12, 2022

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Community Behavioral Health, Inc.

  • Mental Health Counselor
  • Hamilton, OH
  • NPI 1134365745
  Medicare reassignment
• Community Behavioral Health, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Hamilton, OH
  • NPI 1164922977
  NPD
• Community Behavioral Health Inc.

  • Mental Health Counselor
  • Fort Thomas, KY
  • NPI 1710691795
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1760116230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111966",
            "telephone_number": "513-785-4895",
            "fax_number": "513-785-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111966",
            "telephone_number": "513-785-4895",
            "fax_number": "513-785-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KAITLYN",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Roberts
• Michelle Renee' Roberts, LPN
• Ricky Lee Roberts III
• Amy M Robertson
• Courtney Alaine Robertson
• Jodi L Robinson Stockhoff
• Armoni L Robinson
• Emily Rachel Robinson
• Jaden Robinson
• Tisha Michelle Robinson, LPN

• Professional Counselor in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
• 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.