Active NPI
Valerie Ann Robertson, L.P.C.
- Professional Counselor
- Vidor, TX
National Provider Identifier
1336207331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13729
- Practice address
- 745 Lyndale St
Vidor, TX 77662-5208 - Phone
- (409) 769-3191
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13729 | TX | Primary |
Addresses
Primary practice location
745 Lyndale St
Vidor, TX 77662-5208
Mailing address
745 Lyndale St
Vidor, TX 77662-5208
Phone (409) 769-3191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0956492-03 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13729 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336207331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 LYNDALE ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776625208",
"telephone_number": "409-769-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 LYNDALE ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776625208",
"telephone_number": "409-769-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0956492-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vidor, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.