KIMBERLY MICHELLE ROBERTS PSYD, LPC, CCM - NPI 1174697320

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Kimberly Michelle Roberts Psyd, Lpc, Ccm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MICHELLE ROBERTS PSYD, LPC, CCM (NPI 1174697320) is an individual professional provider in Jacksonville, Oregon and active in the NPI registry since November 2006. She maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1174697320

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY MICHELLE ROBERTSCredential: PSYD, LPC, CCM

Location Address455 HUENERS LNJacksonville, OR 97530-9195

Mailing Address455 Hueners LnJacksonville, OR 97530-9195 · (615) 668-6775

Phone(615) 668-6775

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateMay 13, 2020

NPPES CertifiedMay 13, 2020

✔ NPI 1174697320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

455 HUENERS LN, Jacksonville, OR 97530

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Other Names 1

Other Name (5)Kimberly Michelle Roberts

Secondary Practice Location 1

Location 13354 Perimeter Hill Dr, Suite 320Nashville, TN 37211 · Phone (615) 331-3221 · Fax (615) 331-0378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Frequently Asked Questions

What is Kimberly Roberts's NPI number?

The NPI number assigned to this healthcare provider is 1174697320, enumerated as an "individual" on November 20, 2006.

Where is the provider located?

The provider is located at 455 HUENERS LN JACKSONVILLE, OR 97530 and the phone number is (615) 668-6775.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Kimberly Roberts accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to verify.