MARY R. ROBERTS LPC NPI 1174838320

NPI Information

  • NPI: 1174838320
  • Provider Name: MARY R. ROBERTS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 825 FAIRFAX AVE STE 710
    NORFOLK, VA
    ZIP 23507
  • Phone: (757) 446-5888

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NPI Details

Mary R. Roberts, LPC is a professional counselor in Norfolk, VA with 8 years of experience. Mary R. Roberts, LPC NPI is 1174838320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 FAIRFAX AVE STE 710
NORFOLK, VA
ZIP 23507-914
Phone: (757) 446-5888
Fax: (757) 446-5918

The NPI 1174838320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 1/19/2018.

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
1101YP2500XCounselorProfessional0701003086VIRGINIAYes

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
1089353OTHERVIRGINIASENTARA
2461637OTHERVIRGINIAANTHEM
3287533OTHERVIRGINIAANTHEM HMO HEALTHKEEPERS MENTAL HEALTH PROVIDER NETWORK
44945425MEDICAIDVIRGINIA

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: 11/21/2025

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