Rachel Elizabeth Roberts, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6645 Issued in SC

Practice address

302 S Broad St
Clinton, SC 29325-2507

Phone

(864) 938-2100

NPI assigned

Feb 12, 2021

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 SC

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

Locations

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.

• Upstate Ellie LLC

  • Specialist
  • Greenville, SC
  • NPI 1457073694
  Medicare reassignment NPD
• Thornwell

  • Community/Behavioral Health Agency
  • Clinton, SC
  • NPI 1609137967
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1306439187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-416-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-938-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Woodruff Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073443",
            "country_code": "US",
            "telephone_number": "864-400-5130",
            "fax_number": "864-818-4697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Sherer Reynolds, DMD
• Seth C Reynolds, DMD
• Dasia Rhodes-Coleman, LPC-A, NCC
• Harvard Keith Riddle Jr., M.D.
• Travis Scott Riser
• Alice Rodriguez, APRN, CPNP-PC
• Brittany Ranae Rogers, FNP
• Ronald J. Long, MD. LLC
• Federico Rossi
• Heather Seay Roughton, OTR

• Professional Counselor in Clinton, SC
• Providers in Clinton, 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 Mar 29, 2024; 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.