Active NPI
Brett Roberts, MSED
- Professional Counselor
- East Palestine, OH
National Provider Identifier
1942405964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E 0001619
- Practice address
- 4923 Adams Rd
East Palestine, OH 44413-8769 - Phone
- (330) 501-8200
- Fax
- (330) 426-9415
- NPI assigned
- Jun 19, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E 0001619 | OH | Primary |
Addresses
Primary practice location
4923 Adams Rd
East Palestine, OH 44413-8769
Mailing address
4923 Adams Rd
East Palestine, OH 44413-8769
Phone (330) 501-8200
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 |
|---|---|---|---|
| E 0001619 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1942405964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 ADAMS RD",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "444138769",
"telephone_number": "330-501-8200",
"fax_number": "330-426-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 ADAMS RD",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "444138769",
"telephone_number": "330-501-8200",
"fax_number": "330-426-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRETT",
"name_prefix": "Mr.",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E 0001619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Palestine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.