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Deactivated NPI 1114229010 Deactivated / Inactive NPI Male Practitioner

David J Roberts , MA, NCC, LPC

Counselor • Campton Hills, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Roberts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 27, 2010
NPI Deactivation Date January 28, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

David Roberts, MA, NCC, LPC was a registered Counselor practicing in Campton Hills, IL. Throughout an active medical career spanning 10 years, David Roberts provided care at the practice location at 5N017 WEST WOODS DR until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

5n017 West Woods Dr

Campton Hills, IL 601755514

Telephone 6304480031

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Campton Hills, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Campton Hills, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 178.006753

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active November 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2010

Registered at 5N017 WEST WOODS DR, CAMPTON HILLS, IL 601755514 (Tel: 6304480031)

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Updated Business Mailing Address November 27, 2010

Registered at 5N017 WEST WOODS DR, CAMPTON HILLS, IL 601755514 (Tel: 6304480031)

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Provider Name / Credentials Updated November 27, 2010

Recorded as DAVID ROBERTS, MA, NCC, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2010

Counselor (License #178.006753 in IL)

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Initial NPI Registration & Enumeration November 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114229010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2010
Last Update: November 27, 2010
Deactivation Date: January 28, 2020

Mailing Address

5n017 West Woods Dr

Campton Hills, IL 601755514

Phone: 6304480031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.