Michelle A Robertson, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1555 Issued in WY

Practice address

190 Overthrust Rd.
Evanston, WY 82930-2910

Phone

(307) 789-4224

NPI assigned

Jul 2, 2014

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uinta Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Evanston, WY
  • NPI 1962077701
  NPD Authorized official
• High Country Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, WY
  • NPI 1891099545
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1780090407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2910",
            "address_2": "190 OVERTHRUST RD",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829312910",
            "telephone_number": "307-885-3823",
            "fax_number": "307-885-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 OVERTHRUST RD.",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829302910",
            "telephone_number": "307-789-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-847",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1555",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-847",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Aileen Ripley
• Lamont Roberson, OD
• Katrina Roberts
• Patricia Ann Roberts, LCSW
• Auburn Amanda Robertson, LMFT
• Shontay Marie Roe, LCSW
• Eric G Roman, NP
• Pennie Roussin
• David Ray Russell, O.D.
• Linda Gail Sandness, BA. NCACII LAT LAT-1

• Professional Counselor in Evanston, WY
• Providers in Evanston, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.