Individual provider Active NPI

Robin Beth Dehaven-Roberts, LPC,LSATP

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1154547388
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004957 Issued in VA
Practice address
1025 Boulders Pkwy Ste 410
North Chesterfield, VA 23225-5549
Phone
(804) 988-3210
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701004957 VA Primary

Addresses

Primary practice location

1025 Boulders Pkwy Ste 410
North Chesterfield, VA 23225-5549

Mailing address

1025 Boulders Pkwy Ste 410
North Chesterfield, VA 23225-5549
Phone (804) 245-6372

Other identifiers 3

IdentifierTypeStateIssuer
0701004957OtherVALPC
0718000237OtherVALSATP
92806OtherTXLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203002069 VA Practitioner - Mental Health Counselor 3971096504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1025 Boulders Pkwy
Suite 410
North Chesterfield, VA 23225-5549
Phone (804) 245-6372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004957VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Area Clinical Services CurrentSince Sep 30, 2025 Accepting new patients
Intercept Youth Services Inc Past Accepting new patients

Locations

1025 Boulders Pkwy
Ste 410
North Chesterfield, VA 23225
Phone (804) 245-6372

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1154547388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BOULDERS PKWY STE 410",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255549",
            "telephone_number": "804-245-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BOULDERS PKWY STE 410",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255549",
            "telephone_number": "804-988-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN-ROBERTS",
        "first_name": "ROBIN",
        "middle_name": "BETH",
        "credential": "LPC,LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "0701004957",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSATP",
            "identifier": "0718000237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "92806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.