Stephanie Nicole Robertson, LPC, LAC, AADC, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6403 Issued in SC

Practice address

364 S Pine St Ste A110
Spartanburg, SC 29302-2654

Phone

(864) 515-6440

Fax

(864) 308-2442

NPI assigned

Mar 28, 2012

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spartanburg, SC
  • NPI 1053719518

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1265708820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LEN CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035526",
            "telephone_number": "864-371-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S PINE ST STE A110",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022654",
            "telephone_number": "864-515-6440",
            "fax_number": "864-308-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, LAC, AADC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Kaleel Roberts
• Shannon Roberts, PTA
• Christopher Joe Robertson, DPT
• Elizabeth Adair Robertson
• Nicholas Robertson
• Cathy Robey-Williams, RN,PHD(C)
• Shauna Paige Robey
• Andrea Z Robinson, APRN, FNP-C
• Israel Robinson, DCA
• Karen Robinson, RN

• Professional Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.