MARY LEIGH ROBERTS (NPI# 1922032036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922032036 |
| Entity Type | Individual |
| Full Name | MARY LEIGH ROBERTS |
| Credential | LPC |
| Practice Address |
3110 Park Center Dr Tyler TX 75701-9215 |
| Mailing Address |
Po Box 132929 Tyler TX 75713-2929 |
| Practice Telephone | 9035939999 |
| Practice Fax Number | 9035262679 |
| Mailing Telephone | 9035939999 |
| Mailing Fax Number | 9035262679 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
16227 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0960213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856365 | Mary Morgan Roberts | Counselor | 2104 Rocky Ridge Rd, Vestavia Hills, AL 35216-5138 | 2018-10-10 |
| 1154809127 | Mary Katherine Roberts | Registered Nurse | 10408 Jackson Oaks Way, Knoxville, TN 37922-3293 | 2018-08-01 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1225424732 | Mary Roberts | Massage Therapist | 2310 Hwy 94 S Outer Rd, Saint Charles, MO 63303-8301 | 2015-04-10 |
| 1942627468 | Mary Heather Roberts | Occupational Therapist | 13033 Se Holgate Blvd, Portland, OR 97236-3913 | 2014-03-21 |
| 1417373960 | Mary Roberts | Counselor | 1659 Layton Rd, Freeland, WA 98249 | 2014-03-07 |
| 1801149299 | Mary Danielson Roberts | Marriage & Family Therapist | 3150 Pio Pico Dr Ste 105, Carlsbad, CA 92008-1951 | 2012-10-22 |
| 1295085751 | Mary Geralyn Roberts | Registered Nurse | 7239 N River Rd, West Bend, WI 53090-1216 | 2012-09-12 |
| 1609150598 | Mary Jacqueline Roberts | Nurse Practitioner | 1331 Christy Ave, #1, Louisville, KY 40204-2038 | 2011-10-10 |
| 1972736114 | Mary Roberts | Social Worker | 119 Hendersonville Rd., Asheville, NC 28803 | 2009-09-03 |
| Street Address |
3110 PARK CENTER DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308777 | Ritesh R Prasad | Physical Medicine & Rehabilitation | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2005-07-07 |
| 1417420498 | Jared Anthony Crook | Nurse Practitioner | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2019-01-02 |
| 1104391796 | Christina I Marrow | Counselor | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2018-10-10 |
| 1760845754 | Drm Business Health, Pllc | Preventive Medicine | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2016-03-29 |
| 1023447364 | Lauren Meeker | Speech-Language Pathologist | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2013-11-07 |
| 1992985394 | East Texas Spine Institute, Pa | Physical Medicine & Rehabilitation | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2007-11-14 |
| 1366525008 | Racheal Anne Cox | Speech-Language Pathologist | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2006-10-24 |
| 1447283320 | Brandon Coby Marrow | Physical Therapist | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2006-07-07 |
| 1871537621 | Fredrick Wayne Kersh | Emergency Medicine | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622164 | Tere Pamela Ortega | Counselor | 701 Shiloh Rd Apt 717, Tyler, TX 75703-3838 | 2020-09-05 |
| 1669083937 | Arturo Vega II | Counselor | 5000 Edinburgh Dr Apt 904, Tyler, TX 75703-2713 | 2020-08-11 |
| 1063020675 | Tyler Family Counseling, Pllc | Counselor | 16075 Fm 2493, Tyler, TX 75703-7363 | 2020-07-20 |
| 1144838707 | Ceselie Ann Tobin | Counselor | 121 S Broadway Ave Ste 820, Tyler, TX 75702-7282 | 2020-07-20 |
| 1124636824 | Austyn Teal Bailiff | Counselor | 1058 Asher Way Ste 400, Tyler, TX 75703-6076 | 2020-07-19 |
| 1881237899 | Ida F Baty | Counselor | 3367 Cascades Blvd Apt 119, Tyler, TX 75709-5447 | 2019-10-22 |
| 1073077673 | Hobert Stanley Miller | Counselor | 15360 Fm 850, Tyler, TX 75707-3916 | 2019-01-28 |
| 1922594308 | Grace Counceling Center | Counselor | 1828 E Se Loop 323 Ste Ll14, Tyler, TX 75701-8398 | 2018-07-09 |
| 1578072971 | Julie Kathryn David | Counselor | 17121 Us Highway 69 S, Tyler, TX 75703-8091 | 2017-09-28 |
| 1619411204 | Marla Cannefax | Counselor | 121 S Broadway Ave Ste 528, Tyler, TX 75702-7209 | 2016-12-15 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.