Individual provider Active NPI

Misty Dawn Roberts, LPC, NCC

  • Professional Counselor
  • Weatherford, TX
National Provider Identifier
1063232247
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92281 Issued in TX
Practice address
1715 Santa Fe Dr
Weatherford, TX 76086-6419
Phone
(682) 719-2582
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 92281 TX
Professional Counselor 101YP2500X 92281 TX Primary

Addresses

Primary practice location

1715 Santa Fe Dr
Weatherford, TX 76086-6419

Mailing address

1715 Santa Fe Dr
Weatherford, TX 76086-6419
Phone (682) 719-2582

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
I20251124003526 TX Practitioner - Mental Health Counselor 7214429505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2101 W Pearl St
Granbury, TX 76048-1894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92281TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Valley MHMR Region CurrentSince Sep 18, 2025 Accepting new patients
Pecan Valley MHMR Region Mental Health CurrentSince Sep 18, 2025 Accepting new patients

Locations

2101 W Pearl St
Granbury, TX 76048
Phone (817) 579-4400

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1063232247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866419",
            "telephone_number": "682-719-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866419",
            "telephone_number": "682-719-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92281",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.