Cynthia J Robertson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

225566 Issued in MS

Practice address

103 S 19TH Ave
Hattiesburg, MS 39401-6171

Phone

(601) 705-1923

NPI assigned

Apr 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Region 12 Commission on Mental Health and Retardation

  • Substance Abuse Rehabilitation Facility
  • Moselle, MS
  • NPI 1982612206
  NPD (past)
• Region XII Comm on Mental Health Dba Pine Belt Mental Healthcare

  • Developmentally Disabled Services Day Training Agency
  • Hattiesburg, MS
  • NPI 1689847394
  NPD (past)

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1659698538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031030",
            "telephone_number": "601-705-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 19TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016171",
            "telephone_number": "601-705-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "225566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Roberts
• Kristie Pearce Roberts, M.DIV.
• Lauren Nicole Roberts, NP
• Melissa B Roberts, MD
• Noah Jamason Roberts
• George H. Robertson III, MD
• Jazmine A Robertson
• Lauren Robertson, DNP, CRNA
• Sherri A Robertson, DNP, FNP
• Robin H. Schwartz, M.D., P.a.

• Mental Health Counselor in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.