Gail Roberson-Fatino, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001811 Issued in MO

Practice address

1852 N Commerce Dr
Nixa, MO 65714-7603

Phone

(417) 850-4555

Fax

(417) 777-7017

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Gail Roberson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Light Counseling

  • Professional Counselor
  • Springfield, MO
  • NPI 1891412797
  NPD

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1497730568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610A E BATTLEFIELD ST STE 113",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074865",
            "telephone_number": "417-850-4555",
            "fax_number": "417-777-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N COMMERCE DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147603",
            "telephone_number": "417-850-4555",
            "fax_number": "417-777-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON-FATINO",
        "first_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498031608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "ROBERSON",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen G Rice, MD
• Cynthia M Richards, LICSW
• Elena Chong Rieth, O.T.
• Jason Eric Riley
• Amber Roach
• Brandi Michelle Robertson
• Gayle Marie Robertson, M.A.
• Chad Rollins
• Melanie Faith Rose
• Marie Kathryn Rostic, CRNA

• Professional Counselor in Nixa, MO
• Providers in Nixa, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.