MS. SUSAN SAMMON ROBERTS M.ED., L.P.C.
NPI 1639384084
Counselor - Professional in Boerne, TX

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
211 WOODLAND BLVD, BOERNE, TX 78006(830) 331-9191(830) 331-9192 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Susan Sammon Roberts M.ed., L.p.c. NPPES

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

MS. SUSAN SAMMON ROBERTS M.ED., L.P.C. (NPI 1639384084) is an individual professional provider in Boerne, Texas, licensed in Texas (13838) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1639384084
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SUSAN SAMMON ROBERTSCredential: M.ED., L.P.C.
Location Address211 WOODLAND BLVDBoerne, TX 78006-8986
Mailing Address211 Woodland BlvdBoerne, TX 78006-8986 · (830) 331-9191 · Fax (830) 331-9192
Fax(830) 331-9192
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1639384084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 13838
211 WOODLAND BLVD, Boerne, TX 78006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Susan Sammon Roberts M.ed., L.p.c. 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.

PECOS PAC ID6901324235
PECOS Enrollment IDI20250520001095
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639384084, enumerated as an "individual" on May 11, 2007.

The provider is located at 211 WOODLAND BLVD BOERNE, TX 78006 and the phone number is (830) 331-9191.

Counselor with taxonomy code 101YP2500X and a focus in Professional.