Jennifer E Roberson
Counselor • Kent, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Roberson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jennifer Roberson was a registered Counselor practicing in Kent, WA. Throughout an active medical career spanning 6 years, Jennifer Roberson provided care at the practice location at 21851 84TH AVE S STE 101 until profile deactivation on 2025-05-15.
Practice Location & Contact Primary Location
21851 84th Ave S Ste 101
Kent, WA 980321958
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Kent, WA
Practicing in Kent, WA (11556 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Licensed Vocational Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Licensed Practical Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 15, 2025
NPI status registered as active in NPPES database
Registered at 21851 84TH AVE S STE 101, KENT, WA 980321958 (Tel: 4256877082)
Registered at 1540 MAPLE LN TRLR 19, KENT, WA 980307467 (Tel: 2062478272)
Recorded as JENNIFER ROBERSON
Counselor (License #CO60772248 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1540 Maple Ln Trlr 19
Kent, WA 980307467
Phone: 2062478272
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