EDWARD SHANE ROBERTS PSS - NPI 1316537400 - Peer Specialist in Louisa, KY

Q: What is Edward Roberts's NPI number?

The NPI number for Edward Roberts is 1316537400. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Q: What is Edward Roberts's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Roberts was last updated on January 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Edward Shane Roberts Pss NPPES

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

EDWARD SHANE ROBERTS PSS (NPI 1316537400) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1316537400

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameEDWARD SHANE ROBERTSCredential: PSS

Location Address125 S MAIN CROSS STLouisa, KY 41230-1065

Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 639-0938

Phone(606) 639-0938

Sole ProprietorYes

Enumeration DateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1316537400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

125 S MAIN CROSS ST, Louisa, KY 41230

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOIS MICHELLE HUBBARD

Case Manager/Care Coordinator