Nadine Roberts

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12126 Issued in NC

Practice address

9625 David Taylor Dr Ste 120a
Charlotte, NC 28262-2362

Phone

(704) 277-0001

Fax

(980) 833-1048

NPI assigned

Apr 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

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.

• S.T.E.P'S Developmental Academy, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1437284494
  Medicare reassignment NPD
• Innovative Concepts

  • Professional Counselor
  • Charlotte, NC
  • NPI 1942651724
  NPD Authorized official

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1205056454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR STE 120A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-277-0001",
            "fax_number": "980-833-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR STE 120A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-277-0001",
            "fax_number": "980-833-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nroberts@innovativeconcepts26.com",
            "affiliation": "N",
            "endpointDescription": "Outpatient Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9625 David Taylor Dr Ste 120A",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282622362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Jemma Roberts, FNP
• Madia Roberts
• Mark Andrew Roberts, P.A.
• Marley S Roberts
• Morgan Camille Roberts
• Niyarna Mercedes Roberts
• Rachel Roberts, OTR/L
• Rachel Jean Roberts, PA-C
• Rebecca Kate Roberts
• Richard S Roberts, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.