Jennifer G Robertson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002508A Issued in IN

Practice address

6240 E Ablington CT
Camby, IN 46113-9654

Phone

(317) 835-3411

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer G Neal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1245497973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 N MADISON AVE STE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422304",
            "telephone_number": "317-835-3411",
            "fax_number": "317-672-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 E ABLINGTON CT",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "461139654",
            "telephone_number": "317-835-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEAL",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Polley, PHARMD
• Dianne Elizabeth Porter, O.D.
• Connie Pumpelly
• Pamela Arlene Reed, PSYD, HSPP
• Barbara Rivera-Vargas
• Flor Del Carmen Romero
• Donald Ray Russell, RPH
• Michael Eugene Salrin Jr., PHARM.D.
• Rakel Sherrod
• Kimberly Shrum

• Mental Health Counselor in Camby, IN
• Providers in Camby, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.