Gregory Dell Roberts, PHD LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PO103013 Issued in AR

Practice address

211 N Greenwood Ave Ste B
Fort Smith, AR 72901-3463

Phone

(479) 478-0211

Fax

(479) 782-7181

NPI assigned

Sep 25, 2017

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1265941090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAY AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013520",
            "telephone_number": "479-478-0211",
            "fax_number": "479-782-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N GREENWOOD AVE STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013463",
            "telephone_number": "479-478-0211",
            "fax_number": "479-782-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GREGORY",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "PHD LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "PO103013",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "PO103013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Bebout MD
• Robert L Skinner DDS PA
• Robert L Spray Jr PHD PA
• Robert Mack Inc
• Drew Roberts, DDS
• Jessiela Venis Roberts, M.D.
• Katelyn Roberts
• Lacey Rose Roberts, LCSW
• Lorin Roberts
• Lotoya Roberts, QBHP

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.