Active NPI
Starr Renee Roberts, LMHC,LPC
- Professional Counselor
- Hendersonville, NC
National Provider Identifier
1104962968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14011
- Practice address
- 110 Williams St
Hendersonville, NC 28792 - Phone
- (828) 692-7300
- Fax
- (828) 692-7710
- NPI assigned
- Jan 29, 2007
- Last updated
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5812 | MA | |
| Professional Counselor | 101YP2500X | 14011 | NC | Primary |
Addresses
Primary practice location
110 Williams St
Hendersonville, NC 28792
Mailing address
PO Box 2272
Hendersonville, NC 28793-2272
Phone (828) 692-7300
Other practice location 1
110 Williams St
Hendersonville, NC 28792
Phone (828) 692-7300
Other practice location 2
40 Spruce Street
Suite 207
Leominster, MA 01453
Phone (978) 512-2216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5812 | MA | MD | Mental Health Counselor |
| 14011 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1104962968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2272",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287932272",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WILLIAMS ST",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "28792",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710"
}
],
"practiceLocations": [
{
"address_1": "110 Williams St",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "28792",
"country_code": "US",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 Spruce Street",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Leominster",
"state": "MA",
"postal_code": "01453",
"country_code": "US",
"telephone_number": "978-512-2216",
"fax_number": "978-534-8723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "STARR",
"middle_name": "RENEE",
"credential": "LMHC,LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5812",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.