Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Michelle Roberts, PSYD, LPC, CCM

Individual provider Professional Counselor · NPI 1174697320

Kimberly Michelle Roberts, PSYD, LPC, CCM is a Professional Counselor in Jacksonville, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

455 Hueners Ln
Jacksonville, OR 97530-9195
Phone: (615) 668-6775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3354 Perimeter Hill Dr, Nashville, TN 37211 — (615) 331-3221

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1174697320
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LPC , CCM
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020