Individual provider Active NPI

Sonia A Roberts, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1699151944
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13275 Issued in FL
Practice address
900 Cesery Blvd
Suite 111
Jacksonville, FL 32211-5667
Phone
(904) 962-2826
Fax
(904) 309-9935
NPI assigned
Aug 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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 MH13275 FL Primary

Addresses

Primary practice location

900 Cesery Blvd
Suite 111
Jacksonville, FL 32211-5667

Mailing address

1995 Wages Way
Jacksonville, FL 32218-8057
Phone (904) 962-2826

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

State licenses

LicenseStateTypeSpecialty
MH13275FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Counseling Center LLC Current Accepting new patients

Locations

900 Cesery Blvd
Ste 111
Jacksonville, FL 32211
Phone (904) 743-0581

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": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1699151944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 WAGES WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188057",
            "telephone_number": "904-962-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CESERY BLVD",
            "address_2": "SUITE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115667",
            "telephone_number": "904-962-2826",
            "fax_number": "904-309-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SONIA",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-09",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.