Individual provider Active NPI

Susan Robens, MA/MS LPC CT

  • Mental Health Counselor
  • King City, OR
National Provider Identifier
1417512591
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R6595 Issued in OR
Practice address
15405 SW 116TH Ave Ste 202a
King City, OR 97224-2600
Phone
(503) 495-5072
NPI assigned
May 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R6595 OR Primary

Addresses

Primary practice location

15405 SW 116TH Ave Ste 202a
King City, OR 97224-2600

Mailing address

15405 SW 116TH Ave Ste 202a
King City, OR 97224-2600
Phone (505) 615-6176

Other names 1

  • Mary Susan Robens Other name

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

LicenseStateTypeSpecialty
R6595ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Robens Counseling CurrentSince Mar 1, 2024 Accepting new patients

Locations

15405 SW 116th Ave
Ste 202A
King City, OR 97224
Phone (503) 495-5072

2500 Willamette Falls Dr
Ste 207
West Linn, OR 97068
Phone (503) 374-2200

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.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1417512591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 202A",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242600",
            "telephone_number": "505-615-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 202A",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242600",
            "telephone_number": "503-495-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBENS",
        "first_name": "SUSAN",
        "credential": "MA/MS LPC CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROBENS",
            "middle_name": "SUSAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in King City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.