MARY R. ROBERTS LPC
NPI 1174838320
Counselor - Professional in Norfolk, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment

825 FAIRFAX AVE STE 710, NORFOLK, VA 23507(757) 446-5888(757) 446-5918 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary R. Roberts Lpc NPPES

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

MARY R. ROBERTS LPC (NPI 1174838320) is an individual professional provider in Norfolk, Virginia, licensed in Virginia (0701003086) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174838320

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY R. ROBERTSCredential: LPC

Location Address825 FAIRFAX AVE STE 710Norfolk, VA 23507-1914

Mailing AddressPo Box 936Norfolk, VA 23501-0936 · (757) 446-5888 · Fax (757) 446-5918

Phone(757) 446-5888

Fax(757) 446-5918

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 12, 2010

Last NPPES UpdateJanuary 19, 2018

✔ NPI 1174838320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701003086

825 FAIRFAX AVE STE 710, Norfolk, VA 23507

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Other Names 1

Former Name (1)Mary Ritchie Lpc

Other Identifiers 4

Other089353VA · Sentara

Other461637VA · Anthem

Other287533VA · Anthem Hmo Healthkeepers Mental Health Provider Network

Medicaid4945425VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary R. Roberts 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.

PECOS PAC ID2062864580

PECOS Enrollment IDI20240122000011

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NATALIE HOSKOWITZ

Student in an Organized Health Care Education/Training Program

825 FAIRFAX AVE STE 710, EVMS DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES
NORFOLK, VA 23507

Norfolk City (757) 446-5881

MICHAEL L STUTTS PHD

Psychologist (Clinical)