Ron L Roberts, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14775 Issued in TX

Practice address

606 S Fleishel Ave
Tyler, TX 75701-2012

Phone

(903) 581-0933

Fax

(903) 581-3977

NPI assigned

Aug 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Ron L. Roberts, M.S., P.C.

  • Professional Counselor
  • Tyler, TX
  • NPI 1598306581
  NPD (past) Authorized official
• Tyler Counseling & Assessment Center

  • Psychologist
  • Tyler, TX
  • NPI 1659483840

  Professional

  NPD (past) Authorized official
• Theresa M Vail MD PA

  • Psychiatry Physician
  • Tyler, TX
  • NPI 1639267750
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1174635379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S FLEISHEL AVE STE 204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012012",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012012",
            "telephone_number": "903-581-0933",
            "fax_number": "903-581-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14775",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "15103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "99-0414366",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95882905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Leigh Roberts, LPC
• Mary Margaret Roberts, RD, LD
• Patricia Ann Roberts, LVN
• Paul B Roberts, MD
• Robyn Liane Roberts, MD
• Steven Bruce Roberts, MD
• Timothy Duane Roberts, LICENSED PROFESSIONA
• Bradley Robertson, MD
• Colvin Earl Robertson Jr., PHARM.D.
• Edwin D Robertson, PHD

• Professional Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.