Active NPI
Lakeita Roberts, MS, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1417423567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76603
- Practice address
- 3720 Rawlins St Apt I
Dallas, TX 75219-4220 - Phone
- (469) 708-6435
- NPI assigned
- Oct 16, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76603 | TX | Primary |
Addresses
Primary practice location
3720 Rawlins St Apt I
Dallas, TX 75219-4220
Mailing address
540 Buckingham Rd Apt 1024
Richardson, TX 75081-5683
Phone (469) 450-1679
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76603 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1417423567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 BUCKINGHAM RD APT 1024",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815683",
"telephone_number": "469-450-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 RAWLINS ST APT I",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194220",
"telephone_number": "469-708-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAKEITA",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76603",
"primary": true
}
],
"identifiers": [],
"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 Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.