EVAN PAUL ROBERTSON (NPI# 1902312788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902312788 |
| Entity Type | Individual |
| Full Name | EVAN PAUL ROBERTSON |
| Credential | LPC; LAC |
| Practice Address |
4455 E 12th Ave Denver CO 80220-2415 |
| Practice Telephone | 7203635230 |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0001310 | CO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0016020 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4455 E 12TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80220-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735595 | Mark Scott Marshall | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2005-07-28 |
| 1467053033 | Bridget Frances Rowe | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-11-02 |
| 1558977116 | Nathalie Melissa Alvarado | Case Manager/Care Coordinator | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1578179222 | Bria Voorhees | Nurse's Aide | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1932715844 | Shawnna Jessica Kirby | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-17 |
| 1033722335 | Kevin Fisher | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1982217295 | Peter F Crowley | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1962014035 | Abigail Clark | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-20 |
| 1982212817 | Cara La Rhe Lipford | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-16 |
| 1437776549 | Laura Christina Messenger | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024867 | Angela Jean Maestas | Counselor | 2930 N Marion St, Denver, CO 80205-4462 | 2020-08-21 |
| 1538771977 | Emily Markovich | Counselor | 2208 E 17th Ave Apt 8, Denver, CO 80206-1219 | 2020-08-18 |
| 1326658055 | Kindra Michelle Gonzalez | Counselor | 1515 Wynkoop St Ste 250, Denver, CO 80202-1965 | 2020-08-06 |
| 1023627684 | Plasticity Centers of Colorado LLC | Counselor | 2899 N Speer Blvd Unit 103, Denver, CO 80211-4217 | 2020-07-29 |
| 1336757509 | Evan Moore | Counselor | 1490 N. Lafayette St, Suite 108, Denver, CO 80218-2391 | 2020-07-14 |
| 1497373815 | Tamara Smith | Counselor | 2602 Alton St, Denver, CO 80238-2677 | 2020-07-13 |
| 1811515406 | Leanne Stull | Counselor | 6426 E Bates Ave, Denver, CO 80222-7110 | 2020-07-09 |
| 1720603293 | Lisa Dimmer | Counselor | 1685 S Colorado Blvd Unit S283, Denver, CO 80222-4000 | 2020-06-10 |
| 1952930752 | Andrea Lea Bon-wilson | Counselor | 1711 S Krameria Way, Denver, CO 80224-2138 | 2020-04-03 |
| 1508494311 | Arielle M. Schwerd | Counselor | 5335 W 48th Ave, Denver, CO 80212-2700 | 2020-03-28 |
| Find all providers in DENVER | ||||
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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.