HERBERT ALAN ROBERRTS 17500000X NPI 1033835921

NPI Information

  • NPI: 1033835921
  • Provider Name: HERBERT ALAN ROBERRTS, 17500000X
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1 WASHINGTON AVE STE 300
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 792-9473

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NPI Details

Herbert Alan Roberrts, 17500000X is a peer specialist in Logan, WV. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Herbert Alan Roberrts, 17500000X NPI is 1033835921. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 WASHINGTON AVE STE 300
LOGAN, WV
ZIP 25601-966
Phone: (304) 792-9473

The enumeration date for this NPI number is 10/13/2022 and was last updated on 10/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistWEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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