Brian Michael Roberts, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010027 Issued in GA

Practice address

723 Industrial Park Dr Unit a
Evans, GA 30809-4352

Phone

(706) 504-4782

Fax

(706) 955-1412

NPI assigned

Jun 30, 2014

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jun 3, 2024 through Jun 3, 2028

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.

• Hope and Restoration Counseling, Inc.

  • Professional Counselor
  • Evans, GA
  • NPI 1942870290

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1134534068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COUNTRY GLEN CT",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133949",
            "telephone_number": "770-367-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 INDUSTRIAL PARK DR UNIT A",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094352",
            "telephone_number": "706-504-4782",
            "fax_number": "706-955-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 13th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309011007",
            "country_code": "US",
            "telephone_number": "706-823-5250",
            "fax_number": "706-823-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Belair Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308094322",
            "country_code": "US",
            "telephone_number": "706-298-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004405",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Richardson
• Lesley Riley, PH.D.
• Lynn T Riley, P.T.
• Rising Chiropractic LLC
• Rnfusions, LLC
• Sarah Roberts, LCSW
• Alexis Robinson
• Jordyn Rodgers
• Emily Jade Rogers, FNP-C
• Rebecca Rogers, PHD

• Professional Counselor in Evans, GA
• Providers in Evans, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.