Jessica Roberts, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JESSICA ROBERTS, PLLC

Practice address

354 N Broadway St
Tupelo, MS 38804-3926

Phone

(662) 321-8028

NPI assigned

Apr 18, 2020

Last updated

Apr 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica RobertsNPI 1992986004

Title

Owner

Phone

(662) 321-8028

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Floyd Roberts, MA, LPC, LMFT

  • Mental Health Counselor
  • Foley, AL
  • NPI 1992986004
  NPD Authorized official

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1477173516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WILLOW OAK CT",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014534",
            "telephone_number": "662-321-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N BROADWAY ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043926",
            "telephone_number": "662-321-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ROBERTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-321-8028",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jennings
• Stacey Jennings
• Summer Renae Jennings, PMHNP-BC
• William T Jennings, M.D.
• Feras Jeradeh-Boursoulian, MD
• Jim Bain's Compounding Pharmacy
• Joan Armstrong (Junearick Family Medical & Transportation)
• John Russell, III, D.M.D.
• Joseph W Johnsey Jr., MD
• Amy L Johnson, CRNA

• Mental Health Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.