MR. JAKE AARON ROBERTS LPC
NPI 1396082798
Counselor - Professional in Ponca City, OK
About Mr. Jake Aaron Roberts Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAKE AARON ROBERTS LPC (NPI 1396082798) is an individual professional provider in Ponca City, Oklahoma, licensed in Oklahoma (5472) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
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
Mr. Jake Aaron 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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 22 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONCA CITY, OK 74601
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 Jake Roberts's NPI number?
The NPI number for Jake Roberts is 1396082798. It was assigned to this individual provider in the NPPES registry on January 7, 2013.
Where is Jake Roberts located?
Jake Roberts practices at 200 White Eagle Dr, Ponca City, OK 74601. The listed phone number is (580) 765-2501.
What is Jake Roberts's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jake Roberts enrolled in Medicare?
Yes. Jake Roberts 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 Jake Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Roberts reassigns Medicare benefits to White Eagle Health Center (Ponca City, OK). 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 Jake Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Roberts accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jake 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 Jake Roberts was last updated on February 28, 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.
# Mr. Jake Aaron Roberts, LPC · NPI 1396082798
Professional provider in Ponca City, Oklahoma. Individual provider, active in the CMS NPPES registry since January 7, 2013.
## Identity
- **NPI:** 1396082798 (Entity type: Individual)
- **Enumerated:** January 7, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5472 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 WHITE EAGLE DR, Ponca City, OK 74601-8315
- **Phone:** (580) 765-2501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** White Eagle Health Center (NPI 1699875724, Ponca City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396082798) · Data from the CMS NPPES public registry.