Mariko Wiseberg Roberts, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-005939 Issued in IL

Practice address

8324 Skokie Blvd
Skokie, IL 60077-2545

Phone

(847) 933-0051

Fax

(847) 933-0057

NPI assigned

Aug 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 14, 2024 through Feb 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• MWR Psychotherapy, PLLC

  • Mental Health Counselor
  • Morton Grove, IL
  • NPI 1790473122
  NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1295745636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S FERNANDEZ AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052318",
            "telephone_number": "847-997-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772545",
            "telephone_number": "847-933-0051",
            "fax_number": "847-933-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARIKO",
        "middle_name": "WISEBERG",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-005939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Lance Robbins, D.D.S.
• Robert a Hozman MD SC
• Robert a Hozman MD SC
• Robert M Hanson PLLC
• David W Roberts, MD
• Sarah Margaret Roberts, OTR/L
• Patrick Robilotto, PA-C
• Robin'S Key Speech, Language, and Learning, PLLC
• Peter Roccaforte, PH.D.
• Florence Amirdham Roche, DO

• Mental Health Counselor in Skokie, IL
• Providers in Skokie, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.