Lee Roberson, LPN

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

950 N State St Ste E
Hemet, CA 92543-1485

Phone

(951) 683-6596

NPI assigned

Feb 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1851858211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4221",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925494221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N STATE ST STE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431485",
            "telephone_number": "951-683-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Dartmouth Rd",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604221642",
            "country_code": "US",
            "telephone_number": "708-816-8353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53815 Marian View Drive",
            "address_purpose": "LOCATION",
            "city": "Idyllwild",
            "state": "CA",
            "postal_code": "92459",
            "country_code": "US",
            "telephone_number": "708-870-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043114879",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Hemet, CA
• Providers in Hemet, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.