Active NPI
Kyriaki Roberts
- Professional Counselor
- Tamarac, FL
National Provider Identifier
1932614591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH14803
- Practice address
- 7481 W Oakland Park Blvd
Tamarac, FL 33319-4985 - Phone
- (754) 400-5407
- NPI assigned
- Dec 5, 2017
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH14803 | FL | Primary |
Addresses
Primary practice location
7481 W Oakland Park Blvd
Tamarac, FL 33319-4985
Mailing address
7481 W. Oakland Blvd
308-D
Lauderhill, FL 33319
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH14803 | FL | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Tamarac, FL
- NPI 1982102646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1932614591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7481 W. OAKLAND BLVD",
"address_2": "308-D",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "33319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7481 W OAKLAND PARK BLVD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333194985",
"telephone_number": "754-400-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KYRIAKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH14803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Robert J. Fish, D.D.S.
- Robert J. Snyder D.P.M., PA
- Robert L Berman DO PA (Broward Family Medical Center)
- James R Roberts Jr., LCSW
- Jennifer Sue Roberts, P.T.
- Rose Roberts
- Audrey Robinson, LMHCA
- Krystal Michelle Robles, DPT
- Rodolfo Dumenigo MD PA (Clinical Care Medical Centers)
- Alberto Rodriguez Perez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.