Organization Active NPI

Roberts Counseling Center LLC

  • Adult Mental Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1477069243
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH13275 Issued in FL
Legal business name
ROBERTS COUNSELING CENTER LLC
Practice address
900 Cesery Blvd Ste 111
Jacksonville, FL 32211-5634
Phone
(904) 962-2826
Fax
(904) 962-2826
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Sonia A Roberts, LMHCNPI 1699151944
Title
President
Phone
(904) 962-2826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH13275 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH13275 FL

Addresses

Primary practice location

900 Cesery Blvd Ste 111
Jacksonville, FL 32211-5634

Mailing address

1995 Wages Way
Jacksonville, FL 32218-8057
Phone (904) 962-2826

National Provider Directory

National Provider Directory

Locations

900 Cesery Blvd
Ste 111
Jacksonville, FL 32211
Phone (904) 743-0581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1477069243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 WAGES WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188057",
            "telephone_number": "904-962-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CESERY BLVD STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115634",
            "telephone_number": "904-962-2826",
            "fax_number": "904-962-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-962-2826",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH13275",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MH13275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.