THEODORE EDWARD ROBINSON LPC
NPI 1568658011
Counselor - Mental Health in Broken Arrow, OK

Active since September 19, 2007Opted out of Medicare · through Aug 23, 2028
2035A W HOUSTON ST, BROKEN ARROW, OK 74012(918) 505-4367 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2022, Sep 5, 2022, May 11, 2016 (3 updates tracked since 2016).

About Theodore Edward Robinson Lpc NPPES

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

THEODORE EDWARD ROBINSON LPC (NPI 1568658011) is an individual mental health provider in Broken Arrow, Oklahoma, licensed in Oklahoma (6094) and active in the NPI registry since September 2007. He has opted out of Medicare through August 23, 2028.

NPPES Registry Identity

NPI1568658011
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE EDWARD ROBINSONCredential: LPC
Location Address2035A W HOUSTON STBroken Arrow, OK 74012-8792
Mailing Address2035a W Houston StBroken Arrow, OK 74012-8792 · (918) 851-7190 · Fax (918) 560-1399
Sole ProprietorNo
Enumeration DateSeptember 19, 2007
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1568658011 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 OK · 6094
2035A W HOUSTON ST, Broken Arrow, OK 74012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theodore Edward Robinson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 23, 2024 through August 23, 2028.

Opt-Out Effective DateAugust 23, 2024
Opt-Out In Effect ThroughAugust 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Theodore Robinson's NPI number?

The NPI number for Theodore Robinson is 1568658011. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Theodore Robinson located?

Theodore Robinson practices at 2035A W Houston St, Broken Arrow, OK 74012. The listed phone number is (918) 505-4367.

What is Theodore Robinson's specialty?

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

Is Theodore Robinson enrolled in Medicare?

No. Theodore Robinson has opted out of Medicare through August 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Theodore Robinson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Theodore Robinson 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 Theodore Robinson was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.