Active NPI
Daniel Richard Roberson, LMHC
- Mental Health Counselor
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61526870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16081494 | Other | CAQH | |
| 2189382 | Medicaid | WA | |
| LH61526870 | Other | WA | DOH - 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeteo Ministries | Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marysville, WA
- NPI 1124757414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.