Patricia Ann Roberts, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3464 Issued in NC

Practice address

3326 Durham Chapel Hill Blvd
Building C, Suite 230
Durham, NC 27707-2600

Phone

(919) 286-3453

Fax

(919) 286-7033

NPI assigned

Jun 1, 2007

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 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.

• Main Street Clinical Associates, PA

  • Psychologist
  • Durham, NC
  • NPI 1922035260
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1336341411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD.",
            "address_2": "BUILDING C, SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072600",
            "telephone_number": "919-286-3453",
            "fax_number": "919-286-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD",
            "address_2": "BUILDING C, SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072600",
            "telephone_number": "919-286-3453",
            "fax_number": "919-286-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Roberts, M.D.
• Kari Marie Roberts, NP
• Kayden Roberts
• Lauren Ashley Roberts, M.S. CCC-SLP
• Max Roberts
• Rachel Frances Roberts, NP
• Susan Roberts, APN
• Sydneyjane Varner Roberts, PHD
• Yvonne Michelle Roberts, LCSW-A
• April Robertson-Thompson

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.