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CHARLES K ROBERTS EDD, LPCC-S, LICDC
NPI 1225199912
Counselor - Mental Health in Fairfield, OH

Active since December 13, 2006PECOS Enrolled
1251 NILLES RD, SUITE 5, FAIRFIELD, OH 45014(513) 939-0300(513) 939-0310 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Dec 7, 2017 (2 updates tracked since 2017).

About Charles K Roberts Edd, Lpcc-s, Licdc NPPES

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

CHARLES K ROBERTS EDD, LPCC-S, LICDC (NPI 1225199912) is an individual mental health provider in Fairfield, Ohio, licensed in Ohio (E.0600256-S) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225199912
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES K ROBERTSCredential: EDD, LPCC-S, LICDC
Location Address1251 NILLES RD, SUITE 5Fairfield, OH 45014-7206
Mailing Address1251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · (513) 939-0300 · Fax (513) 939-0310
Phone(513) 939-0300
Fax(513) 939-0310
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1225199912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OH · E.0600256-S✔ Licensed in FL · MH22429✔ Licensed in CO · LPC.0020296
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ICDC.131090-S (OH)
1251 NILLES RD, Fairfield, OH 45014
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles K Roberts Edd, Lpcc-s, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindfully, LLC
0.1 mi
Counselor
1251 NILLES RD STE 5
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio, Florida and Colorado enrollments
  • Also billed through NPI 1376271981 (Florida), NPI 1184367153 (Colorado)
  • 134 clinicians in this Medicare group
NPI 1972702520 (513) 939-0300

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 20

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

DR. JOHN MICHAEL CUTTER D.D.S.
Dentist (General Practice)
1251 NILLES RD, SUITE 13
FAIRFIELD, OH 45014
Butler County (512) 829-1100
TRACY SUSAN MERT LPCC
Counselor (Professional)
1251 NILLES RD, SUITE 5
FAIRFIELD, OH 45014
Butler County (513) 939-0300
NGUYEN MEDICAL GROUP INC
Internal Medicine
1251 NILLES RD, STE 6
FAIRFIELD, OH 45014
Butler County (513) 939-0800
MR. ROBERT SCOTT BLANKENBURG MD
Pediatrics
1251 NILLES RD, SUITE 8
FAIRFIELD, OH 45014
Butler County (513) 829-0800
MS. CHRISTINA RUTH-WOMACKS WEST MA, LPCC
Counselor (Mental Health)
1251 NILLES RD, SUITE 5
FAIRFIELD, OH 45014
Butler County (513) 939-0300
ALLIANCE PHYSICIANS, INC.
Surgery (Vascular Surgery)
1251 NILLES RD, SUITE 17
FAIRFIELD, OH 45014
Butler County (937) 829-7133
COMPASS POINT
Clinic/Center
1251 NILLES RD, SUITE 5
FAIRFIELD, OH 45014
Butler County (512) 939-0300
CATHERINE GORE LISW
Social Worker (Clinical)
1251 NILLES RD, SUITE 5
FAIRFIELD, OH 45014
Butler County (513) 939-0300

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 Charles Roberts's NPI number?

The NPI number for Charles Roberts is 1225199912. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Charles Roberts located?

Charles Roberts practices at 1251 Nilles Rd Suite 5, Fairfield, OH 45014. The listed phone number is (513) 939-0300.

What is Charles Roberts's specialty?

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

Is Charles Roberts enrolled in Medicare?

Yes. Charles Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Roberts reassigns Medicare benefits to Mindfully, LLC (Fairfield, OH). 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 Charles Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 6 other insurers list Charles Roberts 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 Charles Roberts was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.