ROY ROBERSON
NPI 1275495749
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since December 02, 2025PECOS Enrolled
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204(833) 659-4357 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roy Roberson NPPES

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

ROY ROBERSON (NPI 1275495749) is an individual addiction (substance use disorder) provider in Indianapolis, Indiana, licensed in Indiana (34012492A) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275495749
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROY ROBERSON
Location Address927 N PENNSYLVANIA STIndianapolis, IN 46204-1020
Mailing Address5845 Petersen CtIndianapolis, IN 46254-1077 · (502) 302-0718
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 2, 2025
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1275495749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · 34012492A
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 34012492A (IN)
927 N PENNSYLVANIA ST, Indianapolis, IN 46204

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy Roberson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799255626
PECOS Enrollment IDI20260601002505
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 Roy Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Substance Abuse Rehabilitation Facility
927 N PENNSYLVANIA ST
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana enrollment
  • 12 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 16

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

Social Worker (Clinical)
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Nurse Practitioner (Family)
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Social Worker (Clinical)
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Counselor (Addiction (Substance Use Disorder))
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Peer Specialist
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Social Worker (Clinical)
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Anesthesiology
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204
Social Worker
927 N PENNSYLVANIA ST
INDIANAPOLIS, IN 46204

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 Roy Roberson's NPI number?

The NPI number for Roy Roberson is 1275495749. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Roy Roberson located?

Roy Roberson practices at 927 N Pennsylvania St, Indianapolis, IN 46204. The listed phone number is (833) 659-4357.

What is Roy Roberson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Roy Roberson enrolled in Medicare?

Yes. Roy Roberson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roy Roberson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Roberson reassigns Medicare benefits to Volunteers Of America Of Indiana, Inc (Indianapolis, IN). 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 Roy Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Roberson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Roy 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 Roy Roberson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.