Individual provider Active NPI

Helen E Roberts, MSE, LMHC, LPC, CCMC

  • Mental Health Counselor
  • Lake City, FL
National Provider Identifier
1821235565
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001096 Issued in IA
Practice address
212 SE Sable LN
Lake City, FL 32025-1845
Phone
(941) 363-1682
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 001096 IA Primary

Addresses

Primary practice location

212 SE Sable LN
Lake City, FL 32025-1845

Mailing address

212 SE Sable LN
Lake City, FL 32025-1845
Phone (941) 631-6823

Other practice location 1

484 N Marion Ave
Lake City, FL 32055-2802
Phone (941) 363-1682

Other identifiers 5

IdentifierTypeStateIssuer
001096OtherIALMHC
6401015350OtherMILPC
3261-125OtherWILPC
MH16215OtherFLLMHC
180008398OtherILLCPC

Other names 1

  • Helen E McDermont Former name

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
001096IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Place Past Accepting new patients

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1821235565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SE SABLE LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251845",
            "telephone_number": "941-631-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SE SABLE LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251845",
            "telephone_number": "941-363-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 N Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320552802",
            "country_code": "US",
            "telephone_number": "941-363-1682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HELEN",
        "middle_name": "E",
        "credential": "MSE, LMHC, LPC, CCMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "001096",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "6401015350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "3261-125",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH16215",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "180008398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "MCDERMONT",
            "middle_name": "E",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.