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MR. BRIAN MICHAEL ROBERTS LPC
NPI 1134534068
Counselor - Professional in Evans, GA

Active since June 30, 2014Opted out of Medicare · through Jun 3, 2028
723 INDUSTRIAL PARK DR UNIT A, EVANS, GA 30809(706) 504-4782(706) 955-1412 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Sep 16, 2020, Aug 31, 2020 and 1 more (4 updates tracked since 2020).

About Mr. Brian Michael Roberts Lpc NPPES

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

MR. BRIAN MICHAEL ROBERTS LPC (NPI 1134534068) is an individual professional provider in Evans, Georgia, licensed in Georgia (LPC010027) and active in the NPI registry since June 2014. He has opted out of Medicare through June 3, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134534068
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRIAN MICHAEL ROBERTSCredential: LPC
Location Address723 INDUSTRIAL PARK DR UNIT AEvans, GA 30809-4352
Mailing Address311 Country Glen CtGrovetown, GA 30813-3949 · (770) 367-0851
Phone(706) 504-4782
Fax(706) 955-1412
Sole ProprietorYes
Enumeration DateJune 30, 2014
Last NPPES UpdateMay 11, 20224 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1134534068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC010027
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APC004405 (GA)
723 INDUSTRIAL PARK DR UNIT A, Evans, GA 30809
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1639 13th StAugusta, GA 30901-1007 · Phone (706) 823-5250 · Fax (706) 823-5266
Location 2601 N Belair Sq Ste 2Evans, GA 30809-4322 · Phone (706) 298-8757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Brian Michael Roberts Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 3, 2024 through June 3, 2028.

Opt-Out Effective DateJune 3, 2024
Opt-Out In Effect ThroughJune 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN PINES RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
723 INDUSTRIAL PARK DR UNIT A
EVANS, GA 30809
Columbia County (706) 466-9474
AMANDA STROUD HAYES
Counselor (Professional)
723 INDUSTRIAL PARK DR UNIT A
EVANS, GA 30809
Columbia County (706) 830-4471
MISS AMY WALSH
Counselor (Mental Health)
723 INDUSTRIAL PARK DR UNIT A
EVANS, GA 30809
Columbia County (706) 514-6341
HOPE AND RESTORATION COUNSELING, INC.
Counselor (Professional)
723 INDUSTRIAL PARK DR UNIT A
EVANS, GA 30809
Columbia County (770) 367-0851
DARLENE RENEE SLAPPEY BATES LPC
Counselor (Professional)
723 INDUSTRIAL PARK DR UNIT A
EVANS, GA 30809
Columbia County (706) 842-8146

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 Brian Roberts's NPI number?

The NPI number for Brian Roberts is 1134534068. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Brian Roberts located?

Brian Roberts practices at 723 Industrial Park Dr Unit A, Evans, GA 30809. The listed phone number is (706) 504-4782.

What is Brian Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brian Roberts enrolled in Medicare?

No. Brian Roberts has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brian Roberts was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.