MR. ERIC SCOTT ROBERTS (NPI# 1972688927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972688927 |
| Entity Type | Individual |
| Full Name | MR. ERIC SCOTT ROBERTS |
| Credential | BA |
| Practice Address |
914 Mission Ave 3rd Floor San Rafael CA 94901-6106 |
| Mailing Address |
621 Hillsborough St Oakland CA 94606-1009 |
| Practice Telephone | 4154576964 |
| Mailing Telephone | 5109278314 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962630004 | Eric Justin Roberts | Podiatrist | 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 | 2009-06-28 |
| 1255375291 | Eric Deloy Roberts | Physical Therapist | 185 Pevero Dr, Idaho Falls, ID 83401-6318 | 2006-06-16 |
| 1205296613 | Eric D Roberts | Physician Assistant | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2016-02-26 |
| 1740665603 | Eric Roberts | Pharmacist | 111 N Bowman Rd, Little Rock, AR 72211-2783 | 2015-07-21 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1336576677 | Eric N Roberts | Physician Assistant | 101 Chad St, Clover Fork Clinic, Evarts, KY 40828-8200 | 2013-10-01 |
| 1508154758 | Eric Steve Roberts | Pharmacist | 4141 Ne Stephens St, Roseburg, OR 97470-1161 | 2011-07-20 |
| 1912210105 | Eric Wayne Roberts | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Anesthesia Department, Tyler, TX 75701-1908 | 2010-07-16 |
| 1982921748 | Eric Edward Roberts | Surgery | 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 | 2010-05-03 |
| 1407010879 | Eric G Roberts | Internal Medicine | 2900 W Oklahoma Ave, 4th Floor Galleria, Milwaukee, WI 53215 | 2008-07-15 |
| Street Address |
914 MISSION AVE 3RD FLOOR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780132076 | Ignacio Gallegos Jr. | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2016-09-14 |
| 1568731131 | Sacha C Mcgowan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2011-12-27 |
| 1396055729 | Mischelle Williamson | Counselor | 914 Mission Ave, 3 Rd Floor, San Rafael, CA 94901 | 2010-10-19 |
| 1417276403 | John Daniel Heibel | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-05-31 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1073845590 | Susan Jane Thomas-sampson | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-02-09 |
| 1891026670 | Patricia Barret | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-19 |
| 1467783415 | Kalia Lynn Chan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2010-01-14 |
| 1669702221 | Kristina Aileen Danz | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-05 |
| 1437489242 | Vinita Jo Anthony | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1548789464 | Michael Robins | Counselor | 1401 Los Gamos Dr # 204, San Rafael, CA 94903-1809 | 2017-09-12 |
| 1912431271 | Community Action Marin | Counselor | 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 | 2017-04-13 |
| 1871047597 | Joseph Dela Vega | Counselor | 361 3rd St Ste B, San Rafael, CA 94901-3580 | 2016-08-10 |
| 1588117808 | Jessica Noelle Panoski | Counselor | 1403 Los Gamos, San Rafael, CA 95403 | 2016-08-03 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1194149260 | Kathryn Harrison Solana | Counselor | 3100 Kerner Blvd Ste C1, San Rafael, CA 94901-5445 | 2014-02-10 |
| 1588904403 | Jose Alfredo Escobar | Counselor | 1 St. Vincent Drive, San Rafael, CA 94903 | 2013-03-01 |
| 1508126939 | Amit Singh | Counselor | 7 Le Claire Ct, San Rafael, CA 94903-3526 | 2012-05-18 |
| 1316211311 | Denia C Briggs | Counselor | 1 Saint Vincents Drive, San Rafael, CA 94903-1504 | 2012-03-08 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. ERIC SCOTT ROBERTS.
| 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.