Active NPI
Lauren Roberts, M.A.
- Mental Health Counselor
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18650
- Practice address
- 1405 SE Goldtree Dr Ste Ad
Port Saint Lucie, FL 34952-7563 - Phone
- (217) 246-0766
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18650 | FL | Primary |
| Professional Counselor | 101YP2500X | 180-000972 | IL |
Addresses
Primary practice location
1405 SE Goldtree Dr Ste Ad
Port Saint Lucie, FL 34952-7563
Mailing address
1405 SE Goldtree Dr Ste C
Port Saint Lucie, FL 34952-7563
Phone (217) 246-0766
Other names 1
- Ms. Lauren Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-000972 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treatment Centers of America, LLC | Current | Accepting new patients | |
| Treatment Centers of America, LLC | Current | Accepting new patients | |
| Community Support Systems | Past | Accepting new patients | |
| Coles County Mental Health Association, Inc | Past | Accepting new patients |
Locations
318 S US Highway 1
Ste 205
Jupiter, FL 33477
1405 SE Goldtree Dr
Ste Ab
Port St Lucie, FL 34952
Phone (855) 700-0327
7330 Powell Rd
Wildwood, FL 34785
Phone (352) 352-6111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health Centers
- Substance Abuse Rehabilitation Facility
- Port St Lucie, FL
- NPI 1225743032
-
dba Behavioral Health Centers
- Substance Abuse Rehabilitation Facility
- Wildwood, FL
- NPI 1750117891
-
dba LifeLinks Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Effingham, IL
- NPI 1841738283
-
- Developmentally Disabled Services Day Training Agency
- Teutopolis, IL
- NPI 1215041991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1609988724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 SE GOLDTREE DR STE C",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527563",
"telephone_number": "217-246-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SE GOLDTREE DR STE AD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527563",
"telephone_number": "217-246-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18650",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-000972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ROBERTS",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.