Individual provider Active NPI

Mary K Roberts, LPC-S

  • Professional Counselor
  • Sweetwater, TX
National Provider Identifier
1578088282
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73250 Issued in TX
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 725-6829
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 73250 TX Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 725-6829

Other practice location 1

909 Lou Ave
Sweetwater, TX 79556-3424
Phone (325) 725-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002493 TX Practitioner - Mental Health Counselor 4082065131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 219-6237

Hospital & facility affiliations

  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Memorial Hospital Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Rolling Plains Memorial Hospital Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Way of Living Counseling PLLC Professional Current Accepting new patients

Locations

317 Oak St
Sweetwater, TX 79556
Phone (325) 261-3730

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1578088282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-725-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-725-6829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Lou Ave",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TX",
            "postal_code": "795563424",
            "country_code": "US",
            "telephone_number": "325-725-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-12-29",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.