Vickie Lynn Roberson, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

104865 Issued in TX

Practice address

20910 Park Row Dr
Katy, TX 77449-5018

Phone

(832) 306-4818

NPI assigned

Feb 17, 2020

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1508499799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WITTE RD APT 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770807636",
            "telephone_number": "713-817-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20910 PARK ROW DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495018",
            "telephone_number": "832-306-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "2524-6140",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "104865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Road Wage LLC
• Vanessa Ines Robalino, PHYSICIAN ASSISTANT
• Roberson Urgent Care HK, PLLC
• Kimberly Dawn Roberson, RN
• Reva Roberson
• Robert H Friedman MD PA
• Robert Rocque
• Catherine Roberts, NP
• Edward Roy Roberts, M.D.
• Jacob B Roberts, RBT

• Addiction (Substance Use Disorder) Counselor in Katy, TX
• Providers in Katy, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.