Active NPI
Roshanda Roberts
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1619427119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 119189
- Practice address
- 10990 Wilshire Blvd Ste 250
Los Angeles, CA 90024-3932 - Phone
- (424) 262-8203
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | ||
| Mental Health Counselor | 101YM0800X | 119189 | CA | Primary |
Addresses
Primary practice location
10990 Wilshire Blvd Ste 250
Los Angeles, CA 90024-3932
Mailing address
PO Box 1253
Hawthorne, CA 90251-1253
Phone (424) 262-8203
Other names 1
- Roshanda Edwards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roshanda Roberts | Marriage & Family Therapist | Current | Accepting new patients |
| Octave Behavioral Health PC | Past | Accepting new patients |
Locations
10990 Wilshire Blvd
Ste 250
Los Angeles, CA 90024
Phone (323) 636-8971
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1285390757
-
- Psychologist
- San Francisco, CA
- NPI 1184199549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1619427119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1253",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902511253",
"telephone_number": "424-262-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10990 WILSHIRE BLVD STE 250",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243932",
"telephone_number": "424-262-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ROSHANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "119189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSHANDA",
"last_name": "EDWARDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.