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Active NPI 1194675744 Individual Practitioner Male Practitioner

Thomas Kent Roberson , LPC

Counselor - Professional • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Roberson, LPC is a certified Counselor - Professional practicing in San Angelo, TX. With approximately 3 years of clinical experience since completing medical education in 2023, Thomas Roberson delivers high-quality medical care to the local community at 3555 KNICKERBOCKER RD.

Thomas Roberson is affiliated with Shannon Clinic and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3555 Knickerbocker Rd

San Angelo, TX 769047610

Telephone 3257472225

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in San Angelo, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -14.8 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
116 Specialists

Practicing in San Angelo, TX (21203 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roberson (3 Years) 3 Yrs
San Angelo Specialty Average (17.8 Years) 17.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 94677

Definition to come...

Hospital & Practice Group Affiliations

Shannon Clinic

3555 Knickerbocker Rd, San Angelo, TX 769047610

Phone: 3257471511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1205562063
Laurel Pittillo , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275399297

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Alexis Moore , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720816861

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Callie Gordon , LPC

Counselor - Professional

NPI 1760061097

Licensed Professional Counselor

Dr. Ye Kyung Song , MD, PhD

Psychiatry & Neurology - Psychiatry

NPI 1841828324

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 02, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2026

Registered at 3555 KNICKERBOCKER RD, SAN ANGELO, TX 769047610 (Tel: 3257472225)

📍
Updated Business Mailing Address February 02, 2026

Registered at 3555 KNICKERBOCKER RD, SAN ANGELO, TX 769047610 (Tel: 3257472225)

👤
Provider Name / Credentials Updated February 02, 2026

Recorded as THOMAS ROBERSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2026

Counselor (License #94677 in TX)

🟢
Initial NPI Registration & Enumeration February 02, 2026

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: 1194675744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2026
Last Update: February 02, 2026
Sole Proprietor: No

Mailing Address

3555 Knickerbocker Rd

San Angelo, TX 769047610

Phone: 3257472225

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.