Jeremy Buttolph Robson
Counselor, Mental Health in La Mesa, CA. Individual provider (NPI-1).
NPI number1003393992
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1003393992
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Buttolph Robson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Last updated
- Aug 8, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3845 Avocado School RdLa Mesa, CA 91941
Phone 619-588-3653
Mailing address
3845 Avocado School RdLa Mesa, CA 91941-7319
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 92 Mental Health Counselor providers in La Mesa · All 2,882 providers in La Mesa
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