Active NPI
Tabitha Roberts, LLPC
- Professional Counselor
- Jackson, MI
National Provider Identifier
1801771308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451024543
- Practice address
- 300 W Washington Ave Ste 210B
Jackson, MI 49201-2160 - Phone
- (517) 344-0913
- Fax
- (517) 905-6007
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451024543 | MI | Primary |
Addresses
Primary practice location
300 W Washington Ave Ste 210B
Jackson, MI 49201-2160
Mailing address
300 W Washington Ave Ste 210B
Jackson, MI 49201-2160
Phone (517) 344-0913
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024543 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irwin Counseling Service PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
300 W Washington Ave
Ste 210B
Jackson, MI 49201
Phone (517) 227-6038
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": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1801771308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W WASHINGTON AVE STE 210B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012160",
"telephone_number": "517-344-0913",
"fax_number": "517-905-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W WASHINGTON AVE STE 210B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012160",
"telephone_number": "517-344-0913",
"fax_number": "517-905-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TABITHA",
"name_prefix": "Mrs.",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451024543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.