MR. DEREK LANE ROBERTSON M. ED., LPC
NPI 1114066321
Counselor - Mental Health in Fort Worth, TX

Q: What is Derek Robertson's NPI number?

The NPI number for Derek Robertson is 1114066321. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Derek Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Derek Robertson was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2007

516 COLLEGE AVE, FORT WORTH, TX 76104(806) 543-6585(817) 231-0132 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Derek Lane Robertson M. Ed., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK LANE ROBERTSON M. ED., LPC (NPI 1114066321) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (14021) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1114066321

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DEREK LANE ROBERTSONCredential: M. ED., LPC

Location Address516 COLLEGE AVEFort Worth, TX 76104-2238

Mailing Address2420 S Adams StFort Worth, TX 76110-2609 · (806) 543-6585 · Fax (817) 231-0132

Phone(806) 543-6585

Fax(817) 231-0132

Sole ProprietorYes

Enumeration DateFebruary 5, 2007

Last NPPES UpdateOctober 13, 2009

✔ NPI 1114066321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 14021

516 COLLEGE AVE, Fort Worth, TX 76104

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Other Identifiers 2

Medicaid1131088-04TX

Medicaid1131088-02TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Robertson's NPI number?

The NPI number for Derek Robertson is 1114066321. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Derek Robertson located?

Derek Robertson practices at 516 College Ave, Fort Worth, TX 76104. The listed phone number is (806) 543-6585.

What is Derek Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derek Robertson was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.