Mary R Roberts, LPC | |
825 Fairfax Ave Ste 710, Norfolk, VA 23507-1914 | |
(757) 446-5888 | |
(757) 446-5918 |
Full Name | Mary R Roberts |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 825 Fairfax Ave Ste 710, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174838320 | NPI | - | NPPES |
089353 | Other | VA | SENTARA |
287533 | Other | VA | ANTHEM HMO HEALTHKEEPERS MENTAL HEALTH PROVIDER NETWORK |
461637 | Other | VA | ANTHEM |
4945425 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701003086 (Virginia) | Primary |
Entity Name | Evms Academic Physicians And Surgeons Health Services Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377 |
Mailing Address | Practice Location Address |
---|---|
Mary R Roberts, LPC Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 446-5888 | Mary R Roberts, LPC 825 Fairfax Ave Ste 710, Norfolk, VA 23507-1914 Ph: (757) 446-5888 |
Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132 | |
Sonnee Da'niel Stanley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9612 Wells Pkwy, Norfolk, VA 23503 Phone: 304-888-2910 | |
Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 208 E Plume St Ste 327b, Norfolk, VA 23510 Phone: 757-637-0840 | |
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826 | |
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750 | |
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242 | |
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391 |