Individual ProviderJonathan RobertsCounselorBehavioral Health & Social Service ProvidersPractice Address1212 Richmond Ave, Staten Island, NY 10314-1506(347) 226-1960PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Roberts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1023416542Provider TypeIndividualFull NameRoberts, JonathanGenderMaleSole ProprietorYesEnumeration Date12/16/2014Last Updated12/16/2014Contact InformationPractice LocationPractice Address1212 Richmond Ave, Staten Island, NY 10314-1506Phone(347) 226-1960FaxUnlisted FaxMailing LocationMailing Address1212 Richmond Ave, Staten Island, NY 10314-1506Phone(347) 226-1960FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNew York