Individual provider Active NPI

Monica Lee Roberts, L.C.P.C

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1205009446
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007813 Issued in IL
Practice address
31480 N US Highway 45
Libertyville, IL 60048-9444
Phone
(847) 680-2715
Fax
(847) 680-3832
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007813 IL Primary

Addresses

Primary practice location

31480 N US Highway 45
Libertyville, IL 60048-9444

Mailing address

31480 N US Highway 45
Libertyville, IL 60048-9444
Phone (847) 680-2715

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007813ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Health Ipa CurrentSince Mar 3, 2025 Accepting new patients
Serene Health Professional CurrentSince Mar 3, 2025 Accepting new patients

Locations

9265 Sky Park Ct
Ste 100
San Diego, CA 92123
Phone (619) 329-4483

16335 Harlem Ave
Ste 300
Tinley Park, IL 60477
Phone (773) 598-8723

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1205009446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MONICA",
        "middle_name": "LEE",
        "credential": "L.C.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.