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MARY ROBERSON LCPC, EDD
NPI 1902296502
Counselor - Professional in Beach Park, IL

Active since February 03, 2015
39385 N STOCKTON LN, BEACH PARK, IL 60083(847) 687-3504 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Roberson Lcpc, Edd NPPES

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

MARY ROBERSON LCPC, EDD (NPI 1902296502) is an individual professional provider in Beach Park, Illinois, licensed in Illinois (180005805) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1902296502
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ROBERSONCredential: LCPC, EDD
Location Address39385 N STOCKTON LNBeach Park, IL 60083-3010
Mailing Address39385 N Stockton LnBeach Park, IL 60083-3010 · (847) 687-3504
Phone(847) 687-3504
Sole ProprietorYes
Enumeration DateFebruary 3, 2015
Last NPPES UpdateAugust 11, 2015
✔ NPI 1902296502 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 IL · 180005805
39385 N STOCKTON LN, Beach Park, IL 60083
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Other Names 1

Former Name (1)Mary Collins Henderson Lcpc, Edd

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 Mary Roberson's NPI number?

The NPI number for Mary Roberson is 1902296502. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Mary Roberson located?

Mary Roberson practices at 39385 N Stockton Ln, Beach Park, IL 60083. The listed phone number is (847) 687-3504.

What is Mary Roberson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Roberson was last updated on August 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.