Carol Constance Roberts, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2161 Issued in MT

Practice address

1800 S 3Rd St W
Missoula, MT 59801-2244

Phone

(406) 210-3512

NPI assigned

Jul 16, 2012

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ywca Missoula

  • Case Management Agency
  • Missoula, MT
  • NPI 1225916448
  NPD

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1912252008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SWEENEY CREEK LOOP",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336712",
            "telephone_number": "406-210-3512",
            "fax_number": "406-543-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012244",
            "telephone_number": "406-210-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CAROL",
        "middle_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "2161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Janice Robar, LCSW
• Kristen Joan Robbins, PHARMD
• Robert J Korenberg MD
• Robert Korenberg MD PC
• Leela Robert-Dvarishkis, LCPC
• Cheri G Roberts, RD
• Colin Ross Roberts
• Jordan Jacob Roberts, D.D.S.
• Lynne Lorraine Roberts
• Mary Roberts, LMT

• Professional Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.