NATHAN LEE ROBERSON LPC
NPI 1154196731
Counselor - Professional in Indian Land, SC
About Nathan Lee Roberson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN LEE ROBERSON LPC (NPI 1154196731) is an individual professional provider in Indian Land, South Carolina, licensed in South Carolina (10620) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathan Lee Roberson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nathan Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32207
- Reassigned Medicare billing, South Carolina enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Roberson's NPI number?
The NPI number for Nathan Roberson is 1154196731. It was assigned to this individual provider in the NPPES registry on November 23, 2023.
Where is Nathan Roberson located?
Nathan Roberson practices at 2303 Excalibur Dr, Indian Land, SC 29707. The listed phone number is (214) 470-9039.
What is Nathan Roberson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nathan Roberson enrolled in Medicare?
Yes. Nathan Roberson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nathan Roberson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Roberson reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Roberson accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Nathan Roberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nathan Roberson was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Nathan Lee Roberson, LPC · NPI 1154196731
Professional provider in Indian Land, South Carolina. Individual provider, active in the CMS NPPES registry since November 23, 2023.
## Identity
- **NPI:** 1154196731 (Entity type: Individual)
- **Enumerated:** November 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10620 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2303 EXCALIBUR DR, Indian Land, SC 29707-9232
- **Phone:** (214) 470-9039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154196731) · Data from the CMS NPPES public registry.