KIMBERLY MICHELLE ROBERTS PSYD, LPC, CCM
NPI 1174697320
Counselor - Professional in Jacksonville, OR

Q: What is Kimberly Roberts's NPI number?

The NPI number for Kimberly Roberts is 1174697320. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Kimberly Michelle Roberts.

Q: What is Kimberly Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Roberts was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2006

455 HUENERS LN, JACKSONVILLE, OR 97530(615) 668-6775 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Roberts's NPI number?

The NPI number for Kimberly Roberts is 1174697320. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Kimberly Michelle Roberts.

Where is Kimberly Roberts located?

Kimberly Roberts practices at 455 Hueners Ln, Jacksonville, OR 97530. The listed phone number is (615) 668-6775.

What is Kimberly Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kimberly Roberts accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kimberly Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Roberts was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.