Organization Active NPI

C Roberts Counseling

  • Psychologist
  • Jacksonville, FL
National Provider Identifier
1831070044
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
C ROBERTS COUNSELING
Practice address
10842 Lydia Estates Dr
Jacksonville, FL 32218-6977
Phone
(904) 401-0743
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosa Roberts, PSYD, LMHCNPI 1700585098
Title
Psycholoist
Phone
(904) 401-0743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10842 Lydia Estates Dr
Jacksonville, FL 32218-6977

Mailing address

10842 Lydia Estates Dr
Jacksonville, FL 32218-6977

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1831070044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 LYDIA ESTATES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 LYDIA ESTATES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186977",
            "telephone_number": "904-401-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C ROBERTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "PSYCHOLOIST",
        "authorized_official_telephone_number": "904-401-0743",
        "authorized_official_credential": "PSYD, LMHC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Sep 12, 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.

Verify at the official NPI Registry.