Individual provider Active NPI

Katelyn Roberts, MS

  • Genetic Counselor (M.S.)
  • Dearborn, MI
National Provider Identifier
1669901708
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
7201000017 Issued in MI
Practice address
18181 Oakwood Blvd Ste 204
Dearborn, MI 48124-4082
Phone
(313) 593-8483
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 7201000017 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 204
Dearborn, MI 48124-4082

Mailing address

18181 Oakwood Blvd Ste 204
Dearborn, MI 48124-4082

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kroberts1253122@epic00.shdirect.org

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
Master of Science

State licenses

LicenseStateTypeSpecialty
7201000017MIMDGenetic Counselor (M.S.)

Interoperability endpoints

  • Direct secure messaging: kroberts1253122@epic00.shdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1669901708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 204",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 204",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-593-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KATELYN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MI",
            "license": "7201000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kroberts1253122@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "18181 Oakwood Blvd Ste 204",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.