Mary Ruth Roberts, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17479 Issued in TX

Practice address

501 Mantooth Ave
Lufkin, TX 75904-3014

Phone

(936) 639-4993

Fax

(936) 639-6838

NPI assigned

Sep 7, 2005

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Master of Arts

Practice roles

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.

• Clark Psychological & Consultation PC

  • Psychologist
  • Lufkin, TX
  • NPI 1841284155
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205820115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MANTOOTH AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043014",
            "telephone_number": "936-639-4993",
            "fax_number": "936-639-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MANTOOTH AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043014",
            "telephone_number": "936-639-4993",
            "fax_number": "936-639-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Robbins, A/GNP-BC
• Robert D. Kistler MD
• Robert M Lindsey,M.D.P.a.
• Roberts Health and Wellness
• Mark Allen Roberts, D.C.
• Sidney Creed Roberts, M.D.
• Caleb Robinson, OD
• Janis Virginia Robinson, LPC
• Kayla Richelle Robinson, DPM
• Miranda Robinson, LCSW

• Professional Counselor in Lufkin, TX
• Providers in Lufkin, 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 13, 2026; 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.