Walter E. Roberson Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001977 Issued in MO

Legal business name

WALTER E. ROBERSON JR.

Practice address

4507B Laclede Ave
Saint Louis, MO 63108-2103

Phone

(314) 374-9797

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Walter E. Roberson, LPCNPI 1053463638

Title

Therapist

Phone

(314) 374-9797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Eugene Roberson Jr., MA,LPC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1053463638
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1144494097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 HONEY RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507B LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082103",
            "telephone_number": "314-374-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E. ROBERSON JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-374-9797",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Cheung Walsh, AUD
• James Walshaw
• Ryan Walsingham, AA
• Isabel Walsman-Diaz
• Manzell Lolita Walson
• Christopher Walter
• Deanna M Walter, PT
• Erica Walter, WHNP-BC
• Jessica Rose Walter, MSW
• Katherine Roseanne Walter, MD

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.