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PHYLLIS MARIE ROBERSON LPC, RN
NPI 1558448993
Counselor - Mental Health in Raleigh, NC

Active since November 01, 2006PECOS Enrolled
401 HILLSBOROUGH ST, RALEIGH, NC 27603(919) 821-0790(919) 861-8961 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phyllis Marie Roberson Lpc, Rn NPPES

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

PHYLLIS MARIE ROBERSON LPC, RN (NPI 1558448993) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (6102263) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558448993
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS MARIE ROBERSONCredential: LPC, RN
Location Address401 HILLSBOROUGH STRaleigh, NC 27603-1727
Mailing Address401 Hillsborough StRaleigh, NC 27603-1727 · (919) 821-0790 · Fax (919) 861-8961
Phone(919) 821-0790
Fax(919) 861-8961
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1558448993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 6102263
401 HILLSBOROUGH ST, Raleigh, NC 27603
Open in Google Maps ↗

Other Identifiers 2

Other155657NC · Nc Nursing Board License
Medicaid6102263NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Phyllis Marie Roberson Lpc, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phyllis Roberson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
695 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 3

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

WILLIAM JAMES RADKE LCSW
Social Worker (Clinical)
401 HILLSBOROUGH ST
RALEIGH, NC 27603
Wake County (919) 821-0790
LISA DRAPER LCSW
Social Worker (Clinical)
401 HILLSBOROUGH ST
RALEIGH, NC 27603
Wake County (919) 821-0790
JULIA LEE GROHSE PA
Counselor (Mental Health)
401 HILLSBOROUGH ST
RALEIGH, NC 27603
Wake County (919) 821-0790

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 Phyllis Roberson's NPI number?

The NPI number for Phyllis Roberson is 1558448993. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Phyllis Roberson located?

Phyllis Roberson practices at 401 Hillsborough St, Raleigh, NC 27603. The listed phone number is (919) 821-0790.

What is Phyllis Roberson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phyllis Roberson enrolled in Medicare?

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

Which organization bills Medicare for Phyllis Roberson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Roberson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Phyllis Roberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Roberson accept?

Health plans from Cigna Healthcare list Phyllis 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 Phyllis Roberson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.