Active NPI
Darreth Roby, LPC, CRC
- Professional Counselor
- Milledgeville, GA
National Provider Identifier
1407598832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 009083
- Practice address
- 465 Quail Ridge CT NE
Milledgeville, GA 31061-5030 - Phone
- (478) 363-1072
- NPI assigned
- Apr 7, 2022
- Last updated
- May 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 009083 | GA | Primary |
| Rehabilitation Counselor | 225C00000X | 00117309 | NU |
Addresses
Primary practice location
465 Quail Ridge CT NE
Milledgeville, GA 31061-5030
Mailing address
465 Quail Ridge CT NE
Milledgeville, GA 31061-5030
Phone (478) 363-1072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1407598832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 QUAIL RIDGE CT NE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310615030",
"telephone_number": "478-363-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 QUAIL RIDGE CT NE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310615030",
"telephone_number": "478-363-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "DARRETH",
"credential": "LPC, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009083",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NU",
"license": "00117309",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.