Chelsea Lauren Robinson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000789 Issued in MI

Practice address

3520 W Vienna Rd
Clio, MI 48420-2034

Phone

(810) 584-0004

NPI assigned

Jul 7, 2017

Last updated

Nov 2, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Lakes Behavioral Health, LLC

  dba Blue Lakes ABA

  • Behavior Analyst
  • Burton, MI
  • NPI 1912664517
  NPD
• Hhas Target LLC

  dba Blue Lakes Autism Center

  • Behavior Analyst
  • Burton, MI
  • NPI 1376123885
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1861914269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202034",
            "telephone_number": "810-584-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHELSEA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-19-34767",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382397147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Res-Care Premier, Inc.
• Sarah Lynn Richardson
• Mary Ann Rini, OTR
• RMR Weight Management
• Robin Fenlon LMSW PC
• Rose Oak Mental Health PLLC
• Alexandra M Rosner
• Joshua David Ruiz, PTA
• Gary Sheldon Salem, D.O.
• Lori Ellen Sanden, COTA

• Behavior Analyst in Clio, MI
• Providers in Clio, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.