EVAN PAUL ROBERTSON LPC; LAC
NPI 1902312788
Counselor - Professional in Denver, CO

Q: What is Evan Robertson's NPI number?

The NPI number for Evan Robertson is 1902312788. It was assigned to this individual provider in the NPPES registry on December 16, 2017.

Q: What is Evan Robertson'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 Evan Robertson was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 16, 2017PECOS Enrolled

4455 E 12TH AVE, DENVER, CO 80220(720) 363-5230 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 9, 2023, Mar 13, 2020, Jul 30, 2019 and 1 more (4 updates tracked since 2017).

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About Evan Paul Robertson Lpc; Lac NPPES

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

EVAN PAUL ROBERTSON LPC; LAC (NPI 1902312788) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0016020) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902312788

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameEVAN PAUL ROBERTSONCredential: LPC; LAC

Location Address4455 E 12TH AVEDenver, CO 80220-2415

Mailing Address4455 E 12th AveDenver, CO 80220-2415

Phone(720) 363-5230

Sole ProprietorNo

Enumeration DateDecember 16, 2017

Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1902312788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0016020

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0001310 (CO)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

4455 E 12TH AVE, Denver, CO 80220

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Paul Robertson Lpc; Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEFAN MICHAEL BUMOL

Psychiatry & Neurology (Psychiatry)