Active NPI
Robert P Roton Jr., LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1396873014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19236
- Practice address
- 3613 Cedar Springs Rd # 3
Dallas, TX 75219-4905 - Phone
- (214) 770-0154
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 | 19236 | TX | Primary |
Addresses
Primary practice location
3613 Cedar Springs Rd # 3
Dallas, TX 75219-4905
Mailing address
4154 Lively LN
Dallas, TX 75220-1947
Phone (214) 770-0154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327969703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217000703 | TX | Practitioner - Mental Health Counselor | 1850615386 | Practice locations: Dallas, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3525 Cedar Springs Rd
Suite 100
Dallas, TX 75219-4902
Phone (214) 770-0154
4154 Lively LN
Dallas, TX 75220-1947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19236 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Dallas, TX
- NPI 1770510075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1396873014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4154 LIVELY LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752201947",
"telephone_number": "214-770-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 CEDAR SPRINGS RD # 3",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194905",
"telephone_number": "214-770-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTON",
"first_name": "ROBERT",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327969703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.