Kristy G Robertson, P-LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P-0859 Issued in MS

Practice address

1414 Cherry St
Vicksburg, MS 39180-3218

Phone

(601) 636-5703

Fax

(769) 230-3039

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Coaching ClinicGroup PAC ID 9638618416, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Coaching Clinic

  dba Chris Webb Counseling Group

  • Mental Health Counselor
  • Madison, MS
  • NPI 1730869892
  Medicare reassignment Care Compare group NPD
• Child Development and Support Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, MS
  • NPI 1366338121
  NPD
• Grace Christian Counseling Center

  • Marriage & Family Therapist
  • Vicksburg, MS
  • NPI 1447295654
  NPD
• Lifeworks Counseling

  • Community/Behavioral Health Agency
  • Madison, MS
  • NPI 1124471412
  NPD (past)

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1811683501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CHERRY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803218",
            "telephone_number": "601-636-5703",
            "fax_number": "769-230-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CHERRY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803218",
            "telephone_number": "601-636-5703",
            "fax_number": "769-230-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KRISTY",
        "middle_name": "G",
        "credential": "P-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "P-0859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C. Clingan, MD, Dermatology
• Robert M Abraham, D.D.S., P.a.
• Robert M Cannon MD LLC
• James Roberts
• Maggie Brittany Roberts
• Amarri Deshawn Robinson
• Nicole Robinson
• Timithay Robinson
• Tiana Ja'NA Roby
• Timberlyn Jaana Roby, MHT

• Counselor in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.