OLIVIA ROBERTS PCCSSS
NPI 1396506093
Counselor in Leakesville, MS

Active since January 19, 2024
1501 LACKEY ST, LEAKESVILLE, MS 39451(601) 394-5047(601) 394-6542 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olivia Roberts Pccsss NPPES

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

OLIVIA ROBERTS PCCSSS (NPI 1396506093) is an individual counselor in Leakesville, Mississippi, licensed in Mississippi (4033) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1396506093
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameOLIVIA ROBERTSCredential: PCCSSS
Location Address1501 LACKEY STLeakesville, MS 39451-3108
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1952
Fax(601) 394-6542
Sole ProprietorNo
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1396506093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MS · 4033
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1501 LACKEY ST, Leakesville, MS 39451

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
1501 LACKEY ST
LEAKESVILLE, MS 39451
Counselor
1501 LACKEY ST
LEAKESVILLE, MS 39451
Counselor (Mental Health)
1501 LACKEY ST
LEAKESVILLE, MS 39451
Marriage & Family Therapist
1501 LACKEY ST
LEAKESVILLE, MS 39451
Counselor
1501 LACKEY ST
LEAKESVILLE, MS 39451
Social Worker
1501 LACKEY ST
LEAKESVILLE, MS 39451

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 Olivia Roberts's NPI number?

The NPI number for Olivia Roberts is 1396506093. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Olivia Roberts located?

Olivia Roberts practices at 1501 Lackey St, Leakesville, MS 39451. The listed phone number is (601) 394-5047.

What is Olivia Roberts's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Olivia Roberts was last updated on January 19, 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.