Bronwyn L. Robertson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004249 Issued in VA

Practice address

821 W 21St St
Suite 201
Norfolk, VA 23517-1500

Phone

(757) 775-0970

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bronwynrobertson@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1033304712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2083",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236620083",
            "telephone_number": "757-775-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 21ST ST",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171500",
            "telephone_number": "757-775-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BRONWYN",
        "middle_name": "L.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00004945395",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "O80311M",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Elizabeth Roberts, DMD
• Justin Douglas Roberts, MD
• Lisa Garety Roberts, PHD
• Mary R. Roberts, LPC
• Vita S Roberts, OT
• Charlene Robertson, MD
• Dana Slepsky Robertson, CCC-SLP
• Georgiana H Robertson, LCSW
• Leslie E Robertson
• Scott Alan Robertson, MD

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.