JILL ROBERTSON (NPI# 1871642942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871642942 |
| Entity Type | Individual |
| Full Name | JILL ROBERTSON |
| Credential | LPC, QMHP |
| Practice Address |
1345 Birch Street Cottage Grove OR 97424-1307 |
| Mailing Address |
1679 Willamette St Eugene OR 97401-4013 |
| Practice Telephone | 5419422850 |
| Practice Fax Number | 5419421574 |
| Mailing Telephone | 5417313168 |
| Mailing Fax Number | 5419421574 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 019047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966765 | Jill Lynn Robertson | Optometrist | 2700 Homestead Rd Ste 30, Park City, UT 84098-4874 | 2006-08-30 |
| 1396048062 | Jill Marie Robertson | Acupuncturist | 1101 Lake St, Suite 300, Oak Park, IL 60301-1085 | 2010-12-17 |
| 1124151840 | Jill H Robertson | Nurse Anesthetist, Certified Registered | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2007-03-13 |
| 1568518389 | Jill Robertson | Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2007-01-26 |
| 1134192149 | Jill Robertson | Social Worker | 5502 E 16th St, Indianapolis, IN 46218-4937 | 2006-02-09 |
| Street Address |
1345 BIRCH STREET |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941449 | David Craig Baumrucker | Counselor | 7501 80th St S Ste 210, Cottage Grove, MN 55016-3063 | 2017-09-18 |
| 1790213791 | Kitty Berry | Counselor | 31161 Kenady Ln, Cottage Grove, OR 97424-9721 | 2017-06-02 |
| 1992184279 | Tammy Hatling | Counselor | 932 S U St, Cottage Grove, OR 97424-3904 | 2015-05-20 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| 1720216344 | Christopher Johnathan Cooper | Counselor | 315 Roberts Ln, Cottage Grove, OR 97424-1763 | 2009-06-23 |
| 1023138088 | Cottage Grove Counseling Clinic, Inc. | Counselor | 411 Washington Ave, Cottage Grove, OR 97424-2060 | 2007-03-30 |
| 1376602706 | Deborah Blackstone | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2006-12-08 |
| 1497362040 | Ashley Marie Kincaid | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-28 |
| 1164039897 | Lauren Appell | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-27 |
| 1720603285 | Jones David Hollister | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-06-10 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on JILL ROBERTSON.
| 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.