Individual provider Active NPI

Sierra Kristine Roberts, LPC

  • Mental Health Counselor
  • Washington, PA
National Provider Identifier
1477083988
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC012294 Issued in PA
Practice address
378 W Chestnut St Ste 205
Washington, PA 15301-4661
Phone
(724) 225-6940
NPI assigned
Jun 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X PC012294 PA Primary

Addresses

Primary practice location

378 W Chestnut St Ste 205
Washington, PA 15301-4661

Mailing address

15 Linnwood Dr
Washington, PA 15301-9319
Phone (724) 206-3315

Other practice location 1

2085 Park Ave Ste 201
Washington, PA 15301-8105
Phone (724) 206-3315

Other practice location 2

630 Cherry Tree Ln
Uniontown, PA 15401-8947
Phone (724) 439-0308

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
PC012294PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1477083988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LINNWOOD DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019319",
            "telephone_number": "724-206-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 W CHESTNUT ST STE 205",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014661",
            "telephone_number": "724-225-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Park Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153018105",
            "country_code": "US",
            "telephone_number": "724-206-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Cherry Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154018947",
            "country_code": "US",
            "telephone_number": "724-439-0308",
            "fax_number": "724-439-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SIERRA",
        "middle_name": "KRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.