CHARLES K ROBERTS EDD LPCC-S LICDC NPI 1225199912

NPI Information

  • NPI: 1225199912
  • Provider Name: CHARLES K ROBERTS, EDD, LPCC-S, LICDC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1251 NILLES RD
    SUITE 5
    FAIRFIELD, OH
    ZIP 45014
  • Phone: (513) 939-0300

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NPI Details

Charles K Roberts, EDD, LPCC-S, LICDC is a mental health counselor in Fairfield, OH. Charles K Roberts, EDD, LPCC-S, LICDC NPI is 1225199912. 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:

1251 NILLES RD
SUITE 5
FAIRFIELD, OH
ZIP 45014-206
Phone: (513) 939-0300
Fax: (513) 939-0310

The NPI 1225199912 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 12/13/2006 and was last updated on 6/11/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)ICDC.131090-SOHIONo
2101YM0800XCounselorMental HealthMH22429FLORIDANo
3101YM0800XCounselorMental HealthLPC.0020296COLORADONo
4101YM0800XCounselorMental HealthE.0600256-SOHIOYes

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: 3/30/2025

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