Heather Jean Roberts, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2437 Issued in MN

Practice address

11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884

Phone

(763) 333-8001

NPI assigned

Apr 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Forensic Mental Health Specialists

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk River, MN
  • NPI 1396246898
  NPD
• Peacetree Family Institute LTD

  • Clinical Psychologist
  • Elk River, MN
  • NPI 1053002881
  NPD
• Alpha Service Industries, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1326172057
  NPD (past)
• Elizabeth Layton Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, KS
  • NPI 1649296757
  NPD (past)
• Elizabeth Layton Center, Inc.

  • Community/Behavioral Health Agency
  • Ottawa, KS
  • NPI 1972209732
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1124553565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 LEGENDS CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495813",
            "telephone_number": "316-461-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302884",
            "telephone_number": "763-333-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 E 23rd St",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660464101",
            "country_code": "US",
            "telephone_number": "785-331-4200",
            "fax_number": "785-331-4455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2537 Eisenhower Rd",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660679482",
            "country_code": "US",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• River Place by Serenity, LLC
• Bobbie Marie Rivera
• Sadie Leigh-Ann Roberts
• Chance Michael Robinson
• Harry John Robinson Jr., M.D.
• Stephen A Rodriguez White, R.N.
• Brooke Roethler, PHARMD

• Mental Health Counselor in Elk River, MN
• Providers in Elk River, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.