Individual provider Active NPI

Angela Grace Robles, LPC, LCDC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1043973001
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93321 Issued in TX
Practice address
3816 Clear Creek Rd Ste 301
Killeen, TX 76549-4400
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Oct 18, 2021
Reactivated
Jul 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14028 TX
Professional Counselor 101YP2500X 93321 TX Primary

Addresses

Primary practice location

3816 Clear Creek Rd Ste 301
Killeen, TX 76549-4400

Mailing address

5603 Capricorn Loop
Killeen, TX 76542-5771
Phone (254) 419-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203003500 TX Practitioner - Mental Health Counselor 2961980578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

3816 Clear Creek Rd
Suite C301
Killeen, TX 76549-4107
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14028TXMDAddiction (Substance Use Disorder) Counselor
93321TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 22, 2026 Accepting new patients
Baobab Psychiatric Services, PLLC PastSince Jul 1, 2024 Accepting new patients

Locations

3816 Clear Creek Rd
Ste C301
Killeen, TX 76549
Phone (254) 690-5847

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

3010 Scott Blvd
Ste 103
Temple, TX 76504
Phone (254) 773-4022

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25870/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1043973001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 CAPRICORN LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425771",
            "telephone_number": "254-419-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 CLEAR CREEK RD STE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "ANGELA",
        "middle_name": "GRACE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "deactivation_date": "2024-05-16",
        "reactivation_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14028",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.