Kynzi Roberts, BS, LCDC, CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10504 Viola Ave
Lubbock, TX 79424-7736

Phone

(719) 400-9266

NPI assigned

Oct 11, 2017

Sex

Female

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1902316375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 VIOLA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247736",
            "telephone_number": "719-400-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 VIOLA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247736",
            "telephone_number": "719-400-9266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Highway 105",
            "address_purpose": "LOCATION",
            "city": "Palmer Lake",
            "state": "CO",
            "postal_code": "801339003",
            "country_code": "US",
            "telephone_number": "719-884-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KYNZI",
        "name_prefix": "Ms.",
        "credential": "BS, LCDC, CAC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16148",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Buchanan DC PA
• Breanna Roberts, LMSW
• Charles Roberts, D.M.D.
• Kasey Leigh Roberts, LVN
• Kelsey Roberts, MS, CCC-SLP
• Tyler Roberts, MSN, APRN, FNP-C
• Donald Jack Robertson, M.D.
• Heather Leigh Robertson, DIETITIAN
• Jaron Robertson
• Jessica Noelle Robertson, MS., CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.