Individual provider Active NPI

Robert Boyd Roberts, ALC

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1871237016
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC04100 Issued in AL
Practice address
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone
(205) 240-5066
Fax
(205) 314-5700
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X ALC04100 AL
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C4100A AL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X ALC04100 AL Primary

Addresses

Primary practice location

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900

Mailing address

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone (205) 240-5066

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
ALC04100ALMDCounselor
C4100AALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1871237016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421900",
            "telephone_number": "205-240-5066",
            "fax_number": "205-314-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421900",
            "telephone_number": "205-240-5066",
            "fax_number": "205-314-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROBERT",
        "middle_name": "BOYD",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C4100A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.