Individual provider Active NPI

Sharon Lynn Roberts, MA, LPC, LCADC, NCC

  • Mental Health Counselor
  • Voorhees, NJ
National Provider Identifier
1790820488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0913 Issued in OR
Practice address
2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502
Phone
(856) 319-5550
NPI assigned
Feb 20, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 R0913 OR Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502

Mailing address

304 Albany Ave
Barrington, NJ 08007-1032
Phone (505) 977-7736

Other practice location 1

1255 Pearl St
Suite 201
Eugene, OR 97401-3570
Phone (541) 687-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2025 through Jun 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R0913ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life New Journey CurrentSince Jul 24, 2022 Accepting new patients

Locations

2301 E Evesham Rd
Ste 109
Voorhees, NJ 08043
Phone (856) 433-8615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790820488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ALBANY AVE",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071032",
            "telephone_number": "505-977-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 109",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "856-319-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Pearl St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013570",
            "country_code": "US",
            "telephone_number": "541-687-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LCADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R0913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.