Roberto Overton, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010310 Issued in MI

Practice address

870 Colfax Avenue
Benton Harbor, MI 49022-4843

Phone

(269) 605-1277

Fax

(269) 925-6370

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: roberto.overton@ichn.eclinicaldirectplus.com

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1992119341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 INDUSTRIAL PARK RD",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490131246",
            "telephone_number": "269-427-7937",
            "fax_number": "269-427-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 COLFAX AVENUE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224843",
            "telephone_number": "269-605-1277",
            "fax_number": "269-925-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "ROBERTO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchard Grove Nursing & Rehab Center LLC (Harbor Lights Care Center)
• Kenneth Joseph Orlich
• Orthopedic and Sports Physical Therapy Center, Inc
• Cheryl Osby
• Cielo Sky Overton
• Cristena Fay Owens
• P&J Loving Home Care LLC
• Shannon M Packingham
• Melanie Beth Page-Wood, MA, LPC
• Samantha Palermo

• Mental Health Counselor in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.