Susan Hope Roberts, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2133 Issued in OK

Practice address

1140 Mayberry Drive
Tahlequah, OK 74464-4603

Phone

(918) 456-8399

Fax

(918) 456-8773

NPI assigned

Jul 26, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prodigy Foundation

  • Clinical Social Worker
  • Tahlequah, OK
  • NPI 1386665743

  Mental Health

  NPD (past) Authorized official
• Denise Lagrand, Psy.D., LLC

  • Clinical Psychologist
  • Tahlequah, OK
  • NPI 1255459889
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912921610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "address_2": "1140 MAYBERRY DRIVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651247",
            "telephone_number": "918-456-8399",
            "fax_number": "918-456-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAYBERRY DRIVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644603",
            "telephone_number": "918-456-8399",
            "fax_number": "918-456-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUSAN",
        "middle_name": "HOPE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2133",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P. Webb, III, D.D.S., Inc.
• Brent Roberts, OD
• Linda Shodd Roberts, CNM
• Paige N. Roberts, OTR/L
• Rylee Ray Roberts
• Teresa Jean Roberts, M.ED.
• Johnathon Heath Robertson I
• Azia Robinson
• John Edward Robinson
• Millissa Kae Robinson

• Mental Health Counselor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.