MRS. KISA ROBERTS MS, PLPC
NPI 1811121650
Counselor - Mental Health in San Diego, CA
About Mrs. Kisa Roberts Ms, Plpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KISA ROBERTS MS, PLPC (NPI 1811121650) is an individual mental health provider in San Diego, California, licensed in Missouri (2009009851) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kisa Roberts Ms, Plpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kisa Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10025
- Reassigned Medicare billing, California enrollment
- 97 clinicians in this Medicare group
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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kisa Roberts's NPI number?
The NPI number for Kisa Roberts is 1811121650. It was assigned to this individual provider in the NPPES registry on May 7, 2009.
Where is Kisa Roberts located?
Kisa Roberts practices at 1250 Morena Blvd Fl 2, San Diego, CA 92110. The listed phone number is (619) 692-8715.
What is Kisa Roberts's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kisa Roberts enrolled in Medicare?
Yes. Kisa Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kisa Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kisa Roberts reassigns Medicare benefits to Talkspace Provider Network Ca PC (New York, NY). 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 Kisa Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kisa Roberts accept?
Health plans from Blue Cross and Blue Shield of Texas list Kisa 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 Kisa Roberts was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Kisa Roberts, MS, PLPC · NPI 1811121650
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1811121650 (Entity type: Individual)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2009009851 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 MORENA BLVD FL 2, San Diego, CA 92110-3815
- **Phone:** (619) 692-8715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Talkspace Provider Network Ca PC (NPI 1003506866, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** December 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1811121650) · Data from the CMS NPPES public registry.