JOHN DAVID ROBERTS LCPC NPI 1417218165

NPI Information

NPI: 1417218165
Provider Name: JOHN DAVID ROBERTS, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6045 SOLOMONS ISLAND RD
HUNTINGTOWN, MD
ZIP 20639
Phone: (410) 257-5200
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John David Roberts, LCPC is a professional counselor in Huntingtown, MD. John David Roberts, LCPC NPI is 1417218165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6045 SOLOMONS ISLAND RD
HUNTINGTOWN, MD
ZIP 20639-876
Phone: (410) 257-5200
Fax: (410) 257-2442

The enumeration date for this NPI number is 5/30/2012 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LC4908	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	589561800	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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