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AMANDA JEAN ROBERTSEN
NPI 1376331454
Peer Specialist in Grass Valley, CA

Active since April 28, 2025
159 BRENTWOOD DR, GRASS VALLEY, CA 95945(530) 263-2562 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Jean Robertsen NPPES

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

AMANDA JEAN ROBERTSEN (NPI 1376331454) is an individual peer specialist in Grass Valley, California, licensed in California (MPSS-OMIQZK) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1376331454
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA JEAN ROBERTSEN
Location Address159 BRENTWOOD DRGrass Valley, CA 95945-5703
Mailing Address159 Brentwood DrGrass Valley, CA 95945-5703 · (530) 263-2562
Phone(530) 263-2562
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1376331454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-OMIQZK
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.
159 BRENTWOOD DR, Grass Valley, CA 95945
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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.

KENNETH WISEMAN
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 460-4083
SAVANNAH M WALKER
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
SAMANTHA E SMITH RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
SOFIA M DEGRUCCIO
Technician
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 273-1140
ANDREA FIGUEROA RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 273-9541
PHILLIP KRULISKY RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 878-5166
AMY JOHNSON
Counselor
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
JESSICA ESCOBEDO
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140

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 Amanda Robertsen's NPI number?

The NPI number for Amanda Robertsen is 1376331454. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Amanda Robertsen located?

Amanda Robertsen practices at 159 Brentwood Dr, Grass Valley, CA 95945. The listed phone number is (530) 263-2562.

What is Amanda Robertsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Robertsen was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.