Individual provider Active NPI

Megan Robertson, LMFT

  • Marriage & Family Therapist
  • Joplin, MO
National Provider Identifier
1104299098
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2012030615 Issued in MO
Practice address
530 E 34TH St
Joplin, MO 64804-3926
Phone
(417) 347-7565
Fax
(417) 347-0293
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2012030615 MO Primary

Addresses

Primary practice location

530 E 34TH St
Joplin, MO 64804-3926

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231218000741 MO Practitioner - Marriage and Family Therapist 0042669962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
College Skyline Center LLCGroup PAC ID 0749383842, 17 clinicians

Practice addresses (Care Compare)

1230 N Duquesne Rd
Joplin, MO 64801-1509
Phone (417) 782-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012030615MOMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
College Skyline Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1230 N Duquesne Rd
Joplin, MO 64801
Phone (417) 782-1443

Organizations & group practices 1

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1104299098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7565",
            "fax_number": "417-347-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043926",
            "telephone_number": "417-347-7565",
            "fax_number": "417-347-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MEGAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2012030615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.