Active NPI
Lakeisha Lashun Roberts, BS
- Case Manager/Care Coordinator
- Amite, LA
National Provider Identifier
1629535497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 203 E Oak St
Amite, LA 70422-2817 - Phone
- (225) 205-1824
- NPI assigned
- Feb 27, 2019
- Last updated
- Apr 26, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
203 E Oak St
Amite, LA 70422-2817
Mailing address
860 E River PL Ste 100
Jackson, MS 39202-3442
Phone (769) 251-5550
Other practice location 1
119 S 12th Ave
Laurel, MS 39440-4322
Phone (601) 342-8210
Other names 1
- Mrs. Lakeisha Lashun Roberts
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)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Behavioral Health Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Jackson, MS
- NPI 1396196879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1629535497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E RIVER PL STE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392023442",
"telephone_number": "769-251-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222817",
"telephone_number": "225-205-1824"
}
],
"practiceLocations": [
{
"address_1": "119 S 12th Ave",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MS",
"postal_code": "394404322",
"country_code": "US",
"telephone_number": "601-342-8210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAKEISHA",
"middle_name": "LASHUN",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAKEISHA",
"last_name": "ROBERTS",
"middle_name": "LASHUN",
"prefix": "MRS.",
"credential": "BACHELOR'S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Amite, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.