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MS. ROBERTA D MARDIS
NPI 1902053390
Counselor - Mental Health in Lexington, KY

Active since August 27, 2008
627 W 4TH ST, LEXINGTON, KY 40508(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Roberta D Mardis NPPES

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

MS. ROBERTA D MARDIS (NPI 1902053390) is an individual mental health provider in Lexington, Kentucky and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1902053390
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ROBERTA D MARDIS
Location Address627 W 4TH STLexington, KY 40508-1207
Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743
Phone(859) 253-1686
Fax(859) 254-2743
Sole ProprietorNo
Enumeration DateAugust 27, 2008
✔ NPI 1902053390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
627 W 4TH ST, Lexington, KY 40508
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Other Identifiers 1

Medicaid1790731081KY

Other Providers at the Same Location NPPES 20

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

MISS RACHEL J BATES
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MS. RITA K BRITT-JOHNSON CADC, LSW
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
WHITNEY A WARD
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MS. EMMA A BURTON
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MISS HEATHER LEEANN LAKES
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
JENNIFER B NEWTON
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MRS. ERNA S PROFITT LSW
Social Worker
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MRS. PHYLLIS M WALDRIDGE RN
Registered Nurse (Psychiatric/Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686

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 Roberta Mardis's NPI number?

The NPI number for Roberta Mardis is 1902053390. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Roberta Mardis located?

Roberta Mardis practices at 627 W 4th St, Lexington, KY 40508. The listed phone number is (859) 253-1686.

What is Roberta Mardis's specialty?

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

When was this NPI record last updated?

The NPPES record for Roberta Mardis was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.