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KENDRICA DESHAWN ROBERTS LCDC, LPC
NPI 1538948013
Counselor - Professional in Fort Worth, TX

Active since September 25, 2023PECOS Enrolled
2408 SAGAMORE ST, FORT WORTH, TX 76179(940) 255-7665(682) 334-7365 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2024, Apr 11, 2024 (2 updates tracked since 2024).

About Kendrica Deshawn Roberts Lcdc, Lpc NPPES

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

KENDRICA DESHAWN ROBERTS LCDC, LPC (NPI 1538948013) is an individual professional provider in Fort Worth, Texas, licensed in Texas (95178) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538948013
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRICA DESHAWN ROBERTSCredential: LCDC, LPC
Location Address2408 SAGAMORE STFort Worth, TX 76179-1079
Mailing Address2408 Sagamore StFort Worth, TX 76179-1079 · (918) 813-8299
Phone(940) 255-7665
Fax(682) 334-7365
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2023
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1538948013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 95178
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17027 (TX)
2408 SAGAMORE ST, Fort Worth, TX 76179
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendrica Deshawn Roberts Lcdc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799265195
PECOS Enrollment IDI20260304002197
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 Kendrica Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keep Thriving PLLC
Same address
Mental Health
2408 SAGAMORE ST
Fort Worth, TX 76179
  • Reassigned Medicare billing, Texas enrollment
NPI 1548005655 (940) 255-7665

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

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

KEEP THRIVING PLLC
Counselor (Mental Health)
2408 SAGAMORE ST
FORT WORTH, TX 76179
Tarrant County (940) 255-7665

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 Kendrica Roberts's NPI number?

The NPI number for Kendrica Roberts is 1538948013. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Kendrica Roberts located?

Kendrica Roberts practices at 2408 Sagamore St, Fort Worth, TX 76179. The listed phone number is (940) 255-7665.

What is Kendrica Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kendrica Roberts enrolled in Medicare?

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

Which organization bills Medicare for Kendrica Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendrica Roberts reassigns Medicare benefits to Keep Thriving PLLC (Fort Worth, TX). 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 Kendrica Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendrica Roberts accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Kendrica 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 Kendrica Roberts was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.