MICHAEL ROBERSON NPI 1629890272

NPI Information

  • NPI: 1629890272
  • Provider Name: MICHAEL ROBERSON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 3974 SPRINGFIELD RD
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 495-8661

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NPI Details

Michael Roberson is a peer specialist in Glen Allen, VA. 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. Michael Roberson NPI is 1629890272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3974 SPRINGFIELD RD
GLEN ALLEN, VA
ZIP 23060-119
Phone: (804) 495-8661
Fax: (804) 486-9819

The enumeration date for this NPI number is 10/25/2024 and was last updated on 10/25/2024.

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 Specialist0735001041VIRGINIAYes

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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