Kelly Eileen Roberts, PHD, PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0800382 Issued in OH

Practice address

131 N Ewing St
Ste B
Lancaster, OH 43130-3383

Phone

(740) 689-6700

Fax

(740) 689-6702

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• River Valley Counseling, LLC

  • Mental Health Counselor
  • Lancaster, OH
  • NPI 1548214752
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1598049835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KELLY",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "PHD, PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0800382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River View Imaging Center LLC
• Riverview ENT Center of Central Ohio
• Riverview Imaging Center
• Megan Robenstine, LISW
• Robert L. Zee, D.O., Inc.
• David J Robertson, MD
• Jean L Robertson, M.D., F.A.A.P.
• Optimum B. Robinson, DO
• Megan Robison, AGNP-C
• Rebecca L. Rockwell, LPN

• Mental Health Counselor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.