Walter Eugene Roberson Jr., MA,LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001977 Issued in MO

Practice address

4507B Laclede Ave
Saint Louis, MO 63108-2103

Phone

(314) 361-4673

Fax

(314) 361-6649

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Walter E. Roberson Jr.

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1144494097
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1053463638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 HONEY RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177602",
            "telephone_number": "314-361-4673",
            "fax_number": "314-361-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507B LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082103",
            "telephone_number": "314-361-4673",
            "fax_number": "314-361-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "WALTER",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Robbins
• Nicholas Lee Robbins, DO
• Philip L Robbins, M.D.
• Kirsten Martinae Roberson
• Samar Roberson
• Robert a Aisenstat MD,Helene M Aisenstat MD PC
• Robert a Aisenstat MD&Helene M Aisenstat MDD PC
• Robert a Levy DMD LLC
• Robert D Craig MD Inc
• Robert D. Tague MD PC

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.