DAVID W. ROBERTS (NPI# 1710269170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710269170 |
| Entity Type | Individual |
| Full Name | DAVID W. ROBERTS |
| Credential | LPC |
| Practice Address |
335 N Main St Pocatello ID 83204 |
| Mailing Address |
720 Washington St Montpelier ID 83254-1401 |
| Practice Telephone | 2084788340 |
| Practice Fax Number | 2084788341 |
| Mailing Telephone | 2082204197 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2055 Garrett Way, Ste 1, Pocatello, ID 832015100 | 2082337832 | |
| 822 Washington St, Montpelier, ID 832541423 | 2088474464 | 2088474251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342526 | David Roberts | Driver | 419 Blondell Ave, Appalachia, VA 24216-1803 | 2017-08-17 |
| 1326419383 | David Roberts | Dentist | 112 Ne 5th Ave, Milton Freewater, OR 97862-1704 | 2015-10-15 |
| 1508266925 | David Roberts | Case Manager/Care Coordinator | 201 W Spingdale Ave, Knoxville, TN 37917 | 2014-09-04 |
| 1265866073 | David B Roberts | Obstetrics & Gynecology | 44 Wicks Ln, Billings, MT 59105-3810 | 2013-08-28 |
| 1346508397 | David Clark Roberts | Hearing Instrument Specialist | 1632 S Marblehead Rd, Lewisville, NC 27023-7788 | 2012-04-27 |
| 1114229010 | David J Roberts | Counselor | 5n017 West Woods Dr, Campton Hills, IL 60175-5514 | 2010-11-27 |
| 1255650917 | David Leland Roberts | Psychologist | 7526 Louis Pasteur, San Antonio, TX 78229-4001 | 2010-05-20 |
| 1275868044 | David D Roberts | Hearing Instrument Specialist | 7045 S State St, Midvale, UT 84047-1548 | 2009-10-12 |
| 1346363231 | David Allen Roberts | Physician Assistant | 2012 Greystone Sq, Jackson, TN 38305-3575 | 2007-04-07 |
| 1962528091 | David Ward Roberts | Dentist | 14608 S Harrells Ferry Rd, Baton Rouge, LA 70816-2926 | 2007-03-21 |
| Street Address |
335 N MAIN ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363094 | Daniel Herrera | Case Manager/Care Coordinator | 335 N Main St, Pocatello, ID 83204-3108 | 2018-04-10 |
| 1487109047 | Cassandra R Noyes | Counselor | 335 N Main St, Pocatello, ID 83204-3108 | 2016-08-23 |
| 1821463704 | Juan Lucero | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2015-12-03 |
| 1528304722 | Brooke J Golightly | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2012-12-17 |
| 1710207238 | Victoria Bertler | Social Worker | 335 N Main St, Pocatello, ID 83204-3108 | 2010-06-07 |
| 1760688584 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1588860308 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1831395656 | Candlewood Family Counseling Center, Inc. | Community/Behavioral Health | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1912103748 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| 1285830018 | Candlewood Family Counseling Center, Inc. | Case Management | 335 N Main St, Pocatello, ID 83204-3108 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1255971024 | Cognitive Restructuring, LLC. | Counselor | 707 N 7th Ave Ste D, Pocatello, ID 83201-5796 | 2020-01-09 |
| 1295378727 | Truenorth Counseling & Consulting, LLC | Counselor | 1440 E Terry St Garrison Hall Bldg 63, Room 725, Pocatello, ID 83209-8120 | 2019-10-28 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1124597109 | Cindy Lynn Woodman | Counselor | 1070 Hiline Rd # 201, Pocatello, ID 83201-2947 | 2018-11-19 |
| 1568823060 | Jeffery Porter | Counselor | 151 N 3rd Ave Ste 404, Pocatello, ID 83201-6331 | 2016-03-10 |
| 1972988517 | Ashley Vargas | Counselor | 1352 E Center St Ste A, Pocatello, ID 83201-4773 | 2015-07-24 |
| 1427437383 | Bannock County Family Treatment Center | Counselor | 141 N 6th Ave, Pocatello, ID 83201-6209 | 2015-05-26 |
| 1699165456 | Terry Jeanne Kerler | Counselor | 524 S 6th Ave, Pocatello, ID 83201-5811 | 2015-02-02 |
| 1760882740 | Tara Ashley | Counselor | 2023 Cassia St, Pocatello, ID 83201-2066 | 2014-08-27 |
| Find all providers in POCATELLO | ||||
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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.