GREGORY JOHN ROBERTSON (NPI# 1881230134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881230134 |
| Entity Type | Individual |
| Full Name | GREGORY JOHN ROBERTSON |
| Credential | LADC |
| Practice Address |
1380 Energy Ln Ste 203 Saint Paul MN 55108-5253 |
| Mailing Address |
6969 Valley Creek Road 220 Woodbury MN 55125 |
| Practice Telephone | 6512105287 |
| Practice Fax Number | 6512124884 |
| Mailing Telephone | 6512105287 |
| Mailing Fax Number | 6512124884 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300291 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 13465318094 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788052 | Gregory Robertson | Case Manager/Care Coordinator | 3630 Macarthur Blvd Ste C, New Orleans, LA 70114-6871 | 2017-09-05 |
| 1306389747 | Gregory Robertson | Licensed Practical Nurse | 6815 Brockhurst Blvd, West Bloomfield, MI 48322-1270 | 2016-12-01 |
| 1932491529 | Gregory James Robertson | Naturopath | 5609 S Lawrence St, Tacoma, WA 98409-5319 | 2011-05-14 |
| 1609917418 | Gregory A Robertson | Surgery | 5240 E Knight Dr, Suite 118, Tucson, AZ 85712-2122 | 2007-02-12 |
| 1932281011 | Gregory A Robertson | Internal Medicine | 20311 Sw Acacia St, Ste 100, Newport Beach, CA 92660-1733 | 2006-10-19 |
| 1598776809 | Gregory Christian Robertson | Internal Medicine | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2006-08-11 |
| 1659329233 | Gregory John Robertson | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| Street Address |
1380 ENERGY LN STE 203 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1629683388 | Family Recovery Resource Experts LLC | Counselor | 311 Ramsey St Ste 206, Saint Paul, MN 55102-2323 | 2020-09-10 |
| 1811508120 | Damaris Axelson | Counselor | 69 Exchange St W # G700, Saint Paul, MN 55102-1004 | 2020-08-11 |
| 1366051344 | Carrie Lois Sorenson | Counselor | 1618 Dayton Ave, Saint Paul, MN 55104-6207 | 2020-07-27 |
| 1104452564 | Heather Thurmes | Counselor | 555 7th St W Ste 302, Saint Paul, MN 55102-3068 | 2020-03-18 |
| 1396377206 | Gail Weiss | Counselor | 1821 University Ave W Ste 333, Saint Paul, MN 55104-2895 | 2020-02-08 |
| 1104456573 | Sarah Ann Licari | Counselor | 455 Etna St, Saint Paul, MN 55106-5859 | 2020-01-24 |
| 1225671415 | Sukimo Dolores Knight | Counselor | 1606 Westminster St # 312, Saint Paul, MN 55130-3036 | 2019-10-21 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1932764701 | Lotus Recovery, LLC | Counselor | 1 Water St W # 240, Saint Paul, MN 55107-2002 | 2019-05-07 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on GREGORY JOHN 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.