Jill Roberts, LMLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2900 Issued in KS

Practice address

217 W Ira CT
Andover, KS 67002-9469

Phone

(316) 733-5047

NPI assigned

Feb 4, 2019

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Solution Focused Therapeutic Alliance LLC

  • Psychologist
  • Andover, KS
  • NPI 1053149260
  NPD Authorized official
• County of Sedgwick

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
  • NPI 1376624775
  NPD
• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1629281373
  NPD
• South Central Mental Health Counseling Center, Inc.

  • Mental Health Counselor
  • El Dorado, KS
  • NPI 1538155882
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1104381284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E AUGUSTA AVE",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670102100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W IRA CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029469",
            "telephone_number": "316-733-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JILL",
        "credential": "LMLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rewired Vision Rehab LLC
• Ashley D Rieschick, PTA
• James Christopher Roe
• Brandon Rooney, PHARMD
• Jason Wayne Rundell-Little, M.D.
• Desiree Runquist, LPN
• Sakura Health and Wellness, Professional Limited Liability Company

• Psychologist in Andover, KS
• Providers in Andover, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.