Individual provider Active NPI

Daniel Richard Roberson, LMHC

  • Mental Health Counselor
  • Arlington, WA
National Provider Identifier
1659040368
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61526870 Issued in WA
Practice address
135 N Olympic Ave
Arlington, WA 98223-1335
Phone
(360) 230-8482
Fax
(425) 548-1734
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61526870 WA Primary

Addresses

Primary practice location

135 N Olympic Ave
Arlington, WA 98223-1335

Mailing address

15619 16TH Ave NW
Marysville, WA 98271-8197
Phone (303) 902-0833

Other practice location 1

1106 Columbia Ave
Marysville, WA 98270-4335
Phone (425) 760-6534

Other practice location 2

15619 16th Ave NW
Marysville, WA 98271-8197
Phone (360) 230-8482

Other practice location 3

13431 56th Dr NE
Marysville, WA 98271-7758
Phone (425) 760-6534

Other identifiers 3

IdentifierTypeStateIssuer
16081494OtherCAQH
2189382MedicaidWA
LH61526870OtherWADOH - LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241025003222 WA Practitioner - Mental Health Counselor 0547602005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 N Olympic Ave
Arlington, WA 98223-1335
Phone (360) 230-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zeteo Ministries Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

102 E Highland Dr
Arlington, WA 98223
Phone (425) 367-1815

135 N Olympic Ave
Arlington, WA 98223
Phone (360) 230-8482

4200 88th St NE
Marysville, WA 98270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1659040368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15619 16TH AVE NW",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718197",
            "telephone_number": "303-902-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N OLYMPIC AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231335",
            "telephone_number": "360-230-8482",
            "fax_number": "425-548-1734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704335",
            "country_code": "US",
            "telephone_number": "425-760-6534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15619 16th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982718197",
            "country_code": "US",
            "telephone_number": "360-230-8482",
            "fax_number": "425-548-1734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13431 56th Dr NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982717758",
            "country_code": "US",
            "telephone_number": "425-760-6534",
            "fax_number": "425-548-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61526870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16081494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2189382",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH - LICENSE",
            "identifier": "LH61526870",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.