Teresa Robertson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16748 Issued in FL

Practice address

12360 66TH Street North
Largo, FL 33773

Phone

(224) 465-7349

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1437291440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 66TH STREET NORTH",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "224-465-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 66TH STREET NORTH",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "224-465-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Rockland Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600144131",
            "country_code": "US",
            "telephone_number": "224-465-7349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180004398",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Robbins, PTA
• Leah Roberson
• Robert Coleman PSYD LLC
• James A. Roberts, M.D.
• Michael K Roberts, DC
• Gillian Leigh Van Allen Robinson, M.D.
• Laura Streber Robles-Perez, LMT MMP
• Laurie Anne Rodio, D.M.D
• Susan K Rodman, D.P.T.
• Celine Rodrigues

• Mental Health Counselor in Largo, FL
• Providers in Largo, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.