MS. KAREN ROBERTS
NPI 1295544856
Social Worker - Clinical in Reston, VA

Active since January 07, 2025PECOS Enrolled
12020 SUNRISE VALLEY DR STE 100, RESTON, VA 20191(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Karen Roberts NPPES

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

MS. KAREN ROBERTS (NPI 1295544856) is an individual clinical provider in Reston, Virginia, licensed in Virginia (0904007822) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295544856
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KAREN ROBERTS
Location Address12020 SUNRISE VALLEY DR STE 100Reston, VA 20191-3429
Mailing Address21950 Garganey Terrace, 203Ashburn, VA 20147-2014 · (571) 338-9776
Fax(929) 596-7897
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 5, 2025
✔ NPI 1295544856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904007822
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12020 SUNRISE VALLEY DR STE 100, Reston, VA 20191

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)

Ms. Karen Roberts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608372461
PECOS Enrollment IDI20251001000207
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 Karen Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
92 MAIN ST STE 201
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 7 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Counselor (Professional)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Social Worker (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Psychologist (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Social Worker (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Social Worker (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Counselor (Professional)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191
Psychologist (Clinical)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191

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 Karen Roberts's NPI number?

The NPI number for Karen Roberts is 1295544856. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Karen Roberts located?

Karen Roberts practices at 12020 Sunrise Valley Dr Ste 100, Reston, VA 20191. The listed phone number is (646) 941-7645.

What is Karen Roberts's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Roberts enrolled in Medicare?

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

Which organization bills Medicare for Karen Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Roberts reassigns Medicare benefits to In Luck Counseling LLC (Warrenton, VA). 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 Karen Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Roberts accept?

Health plans from Oscar Health and UnitedHealthcare list Karen 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 Karen Roberts was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.