MR. MARK ROBERTS JR. (NPI# 1689729964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689729964 |
| Entity Type | Individual |
| Full Name | MR. MARK ROBERTS JR. |
| Practice Address |
2250 4th Ave Suite 301 San Diego CA 92101-2124 |
| Practice Telephone | 6195259903 |
| Practice Fax Number | 6195259908 |
| Mailing Telephone | 6195259903 |
| Mailing Fax Number | 6195259908 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1164943551 | Mark Roberts | Physical Therapist | 3710 168th St Ne Ste A102, Arlington, WA 98223-8462 | 2017-07-06 |
| 1588094825 | Mark Roberts | Licensed Practical Nurse | 209 Carters Grove Rd, Centerville, OH 45459-2509 | 2013-11-23 |
| 1982899696 | Mark Charles Roberts | Dentist | 6025 Warner Ave, Huntington Beach, CA 92649 | 2007-09-06 |
| 1225194343 | Mark Roberts | Marriage & Family Therapist | 405 E 73rd St, New York, NY 10021-3865 | 2007-01-01 |
| 1255402046 | Mark W. Roberts | Chiropractor | 345 E 500 S, Bountiful, UT 84010-4924 | 2006-11-13 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1922021435 | Mark Austin Roberts | Dentist | 210 Crestway St, Suite 106, Athens, TX 75751-2135 | 2006-07-25 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| Street Address |
2250 4TH AVE SUITE 301 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235234725 | Lauren Melissa Kern | Social Worker | 2250 4th Ave, Suite 301, San Diego, CA 92101-2124 | 2006-09-13 |
| 1801271143 | Rachel Hamovitch | Student in an Organized Health Care Education/Training Program | 2250 4th Ave, # 301, San Diego, CA 92101-2124 | 2015-07-28 |
| 1295114056 | Kaleah Patterson | Case Manager/Care Coordinator | 2250 4th Ave, Suite 301, San Diego, CA 92101-2124 | 2015-05-27 |
| 1699165472 | Katie Goldin | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2015-01-30 |
| 1144622986 | Nadia Sayeh | Marriage & Family Therapist | 2250 4th Ave, San Diego, CA 92101-2124 | 2014-09-24 |
| 1285033068 | Gabriel Davis | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2014-08-18 |
| 1982013942 | Mayra Alexandra Murakami | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2014-08-04 |
| 1578978144 | Alberto Arturo Barron | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2014-06-23 |
| 1548515380 | Desiree M Pavlik | Case Manager/Care Coordinator | 2250 4th Ave, San Diego, CA 92101-2124 | 2012-07-18 |
| 1710249644 | Miguel A Carreon | Counselor | 2250 4th Ave, 301, San Diego, CA 92101-2124 | 2012-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.