Active NPI
Brett Roberts
- Counselor
- Pikeville, KY
National Provider Identifier
1861967580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 264661
- Practice address
- 484 Tollage CRK
Pikeville, KY 41501-3305 - Phone
- (606) 230-2255
- Fax
- (606) 437-3001
- NPI assigned
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 264661 | KY | Primary |
Addresses
Primary practice location
484 Tollage CRK
Pikeville, KY 41501-3305
Mailing address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone (606) 230-2255
Other practice location 1
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other practice location 2
140 Adams Ln Ste 100
Pikeville, KY 41501-3090
Phone (606) 230-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264661 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Pediatrics LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1194066761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1861967580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
}
],
"practiceLocations": [
{
"address_1": "104 S Front Ave",
"address_purpose": "LOCATION",
"city": "Prestonsburg",
"state": "KY",
"postal_code": "416531614",
"country_code": "US",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Adams Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415013090",
"country_code": "US",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-09",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "264661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.