Gayle Marie Robertson, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001011927 Issued in MO

Practice address

380 E. Hwy CC
Suite A105
Nixa, MO 65714

Phone

(417) 725-8810

Fax

(417) 725-6206

NPI assigned

Mar 26, 2007

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 May 21, 2025 through May 21, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Barbara K. Hylton

  • Community/Behavioral Health Agency
  • Nixa, MO
  • NPI 1750504544
  NPD (past)
• CC Counseling Services,LLC

  • Professional Counselor
  • Nixa, MO
  • NPI 1912168733
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326166935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W VALLEY WAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102578",
            "telephone_number": "417-877-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E. HWY CC",
            "address_2": "SUITE A105",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "65714",
            "telephone_number": "417-725-8810",
            "fax_number": "417-725-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001011927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Chong Rieth, O.T.
• Jason Eric Riley
• Amber Roach
• Gail Roberson-Fatino, LPC
• Brandi Michelle Robertson
• Chad Rollins
• Melanie Faith Rose
• Marie Kathryn Rostic, CRNA
• Max Saoloto Rowlands
• Andrea Rowley

• Professional Counselor in Nixa, MO
• Providers in Nixa, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.