MEDICARE: MR. JAMES EARL ROBERSON II LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1932426434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES EARL ROBERSON II LPC

Provider Business Mailing Address
First Line	:	PO BOX 721581
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73172-1581
Country	:	US
Telephone Number	:	405-727-0138
Fax Number	:	405-242-3213

Provider Business Practice Location Address
First Line	:	3000 UNITED FOUNDERS BLVD STE 222
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3958
Country	:	US
Telephone Number	:	405-727-0138
Fax Number	:	405-242-3213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2010
Last Update Date	:	06/05/2026

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