Individual provider Active NPI

Tahnee Rae Roberts, MS, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1205388485
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017547 Issued in CO
Practice address
5245 Centennial Blvd Ste 104
Colorado Springs, CO 80919-4405
Phone
(719) 368-9248
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0017547 CO
Mental Health Counselor 101YM0800X LPC.0017547 CO Primary

Addresses

Primary practice location

5245 Centennial Blvd Ste 104
Colorado Springs, CO 80919-4405

Mailing address

5245 Centennial Blvd Ste 104
Colorado Springs, CO 80919-4405
Phone (719) 368-9248

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address troberts@embracewellnesscs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251112003098 CO Practitioner - Mental Health Counselor 8527559012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5245 Centennial Blvd
Suite 104
Colorado Springs, CO 80919-4432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC.0017547COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Wellness Counseling Services, PLLC Professional CurrentSince Aug 26, 2025 Accepting new patients

Locations

5245 Centennial Blvd
Ste 200
Colorado Springs, CO 80919
Phone (719) 684-4569

2140 Academy Cir
Ste A
Colorado Springs, CO 80909
Phone (719) 425-9630

5245 Centennial Blvd
Ste 104
Colorado Springs, CO 80919
Phone (719) 270-0805

Organizations & group practices 1

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205388485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-368-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-368-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TAHNEE",
        "middle_name": "RAE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017547",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "troberts@embracewellnesscs.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5245 Centennial Blvd Ste 104",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809194405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.