Misty Dawn Roberts, LPC, NCC
Counselor, Professional in Weatherford, TX. Individual provider (NPI-1).
NPI number1063232247
StatusActive
Last updated in NPPESFeb 18, 2026
Details
- NPI
- 1063232247
- Entity type
- Individual (NPI-1)
- Name
- Misty Dawn Roberts
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Feb 18, 2026
- Last updated
- Feb 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 92281 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | 92281 | TX |
Practice location
1715 Santa Fe DrWeatherford, TX 76086-6419
Phone 682-719-2582
Mailing address
1715 Santa Fe DrWeatherford, TX 76086-6419
Phone 682-719-2582
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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