Evelyn Nicole Roberts is a Counselor practicing in Columbus, Georgia. The National Provider Identifier (NPI) is #1902264294, which was assigned on February 2, 2016, and the registration record was last updated on August 9, 2021. The practitioner's main practice location is at 4411 Rosemont Dr, Columbus, GA 31904-5634; the contact telephone number is 7063270279, and the fax number is 7063275294. The primary taxonomy of Evelyn Nicole Roberts is Counselor (101Y00000X).
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.
| NPI | 1902264294 |
| Entity Type | Individual |
| Provider Name | EVELYN NICOLE ROBERTS |
| Other Name |
EVELYN NICOLE MITCHELL (Former Name) |
| Gender | Female |
| Credential | LCSW |
| Practice Address |
4411 Rosemont Dr Columbus GA 31904-5634 |
| Practice Telephone | 7063270279 |
| Practice Fax Number | 7063275294 |
| Mailing Address |
4411 Rosemont Dr Columbus GA 31904-5634 |
| Mailing Telephone | 7063270279 |
| Mailing Fax Number | 7063275294 |
| Certification Date | 2021-08-09 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2021-08-09 |
| Is Sole Proprietor | Y |
| PAC ID |
4486050150 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | EVELYN ROBERTS |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Organization Legal Name | VALLEY HEALTHCARE SYSTEM INC |
| Address |
1458 Benning Dr Columbus GA 31903-2200 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor |
| Address | Telephone | Fax |
|---|---|---|
| 1600 Fort Benning Rd, Columbus, GA 319032834 | 7063229599 |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. |
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| Street Address |
4411 ROSEMONT DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-5634 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ellen Odessa Davis | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2007-05-21 |
| Deloise D Crowell | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2018-11-27 |
| Tashae Streeter | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2017-09-06 |
| Temeka Alexis Freeman | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Mental Health Counselor | 2007-05-11 |
| Phyleatha Holt | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Addiction (Substance Use Disorder) Counselor | 2015-12-09 |
| Marcus Wright | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2016-05-16 |
| Cynthia Braski | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2018-07-20 |
| Julius Matthews Chambers | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2016-11-07 |
| Todd Wilson | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Mental Health Counselor | 2019-09-10 |
| Tasha Nicole Morman | 4411 Rosemont Dr, Columbus, GA 31904-5634 | Counselor | 2016-11-21 |
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|---|---|---|---|
| Erika Craft Anders | 1021 Talbotton Road, Columbus, GA 31904 | Family Nurse Practitioner | 2022-01-13 |
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| Alphonsa Joseph | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | Family Nurse Practitioner | 2018-10-22 |
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| Cody Burger | 710 Center Street, Department of Pharmacy, Columbus, GA 31904 | Pharmacist | 2017-06-14 |
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| Nicole Evelyn Nassif | 701 Grove Rd, Greenville, SC 29605-4210 | Student in an Organized Health Care Education/Training Program | 2012-08-16 |
| Nicole Margaret Evelyn Hohler | 5108 Sandy Ln, Fairfield, OH 45014-2738 | Professional Counselor | 2015-10-05 |
| Evelyn Carole Gauthier · Evelyn Broyles, Blose, Bondy, Daschke | 35455 Garfield Rd, #C, Clinton Township, MI 48035-2236 | Clinical Social Worker | 2006-11-28 |
| Nicole Evelyn Bishop | 416 Delmar Pl, Covington, KY 41014-1421 | Peer Specialist | 2023-07-26 |
| Nicole Evelyn Wiggins | 879 Lafayette Ave, 3rd Floor, Brooklyn, NY 11221-1901 | Registered Nurse | 2013-07-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |