Callie Lynn Roberts
Individual provider Active NPI Counselor · Van, TX
NPI 1336092006 · NPPES record last updated Feb 20, 2026
Key facts
- NPI
- 1336092006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 85971 (TX)
- Practice address
- 311 VZ County Road 4517
Van, TX 75790-4469 - Phone
- (903) 941-0063
- NPI assigned
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85971 | TX | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 85971 | TX | Yes |
Addresses
Primary practice location
311 VZ County Road 4517
Van, TX 75790-4469
Mailing address
311 VZ County Road 4517
Van, TX 75790-4469
Phone (903) 941-0063
Other providers in Van, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.