Individual provider Active NPI

Charlotte Elizabeth Roberts, LPC, MED, NCC, FCT 1

  • Professional Counselor
  • Statesboro, GA
National Provider Identifier
1922921816
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC017094 Issued in GA
Practice address
114 Savannah Avenue
Statesboro, GA 30458
Phone
(706) 506-7053
Fax
(912) 225-3331
NPI assigned
Jul 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC017094 GA Primary

Addresses

Primary practice location

114 Savannah Avenue
Statesboro, GA 30458

Mailing address

131 Veranda LN
Statesboro, GA 30458-7752
Phone (706) 506-7053

Other names 1

  • Mrs. Charlotte Elizabeth Glover Other 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

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1922921816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 VERANDA LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587752",
            "telephone_number": "706-506-7053",
            "fax_number": "912-225-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SAVANNAH AVENUE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "706-506-7053",
            "fax_number": "912-225-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHARLOTTE",
        "middle_name": "ELIZABETH",
        "credential": "LPC, MED, NCC, FCT 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "GLOVER",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.