Sean Roberts, M.S., L.P.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7637955-6004 Issued in UT

Practice address

164 NW Hawthorne Ave
Bend, OR 97703

Phone

(541) 323-5129

Fax

(435) 674-9309

NPI assigned

May 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Confluence Counseling and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bend, OR
  • NPI 1881367753
  NPD Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1962761700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NW HAWTHORNE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-323-5129",
            "fax_number": "435-674-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NW HAWTHORNE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-323-5129",
            "fax_number": "435-674-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SEAN",
        "credential": "M.S., L.P.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7637955-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Roberts, CCC-SLP
• Lynette Roberts, CADC1, CRM, PSS,QMHA
• Maxwell D Roberts, RBAI
• Paul L Roberts, CRM
• Sally Ann Roberts
• Steven Roberts, LPC
• Tabbitha Marie Roberts
• Reggie Y Robertson Martinez, LMT
• Jacob Robertson
• Marjorie Sheryl Robertson, PT

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.