Individual provider Active NPI

Heather Roberson

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1083285837
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002790A Issued in IN
Practice address
5660 Caito Dr Ste 126
Indianapolis, IN 46226-1368
Phone
(317) 207-6095
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002790A IN Primary

Addresses

Primary practice location

5660 Caito Dr Ste 126
Indianapolis, IN 46226-1368

Mailing address

2603 Rollingwood Cir
Westfield, IN 46074-9722
Phone (317) 654-8568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260526000326 IN Practitioner - Mental Health Counselor 0840632667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5660 Caito Dr
Suite 126
Indianapolis, IN 46226-1364

5660 Caito Dr
Suite 126
Indianapolis, IN 46226-1368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39002790AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Counseling Professionals LLC Mental Health CurrentSince Sep 21, 2024 Accepting new patients
Pathways to Healing Counseling, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

10609 N Park Ave
Carmel, IN 46280
Phone (317) 207-6095

5660 Caito Dr
Ste 126
Lawrence, IN 46226
Phone (317) 207-6095

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1083285837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 ROLLINGWOOD CIR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749722",
            "telephone_number": "317-654-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 CAITO DR STE 126",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261368",
            "telephone_number": "317-207-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002790A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.