Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristy G Robertson, P-LPC

Individual provider Counselor · NPI 1811683501

Kristy G Robertson, P-LPC is a Mental Health Counselor in Vicksburg, Mississippi. Qualified in 2002, 24 years ago. Practices with Family Coaching Clinic, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2023
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Practice location Address checks out

1414 Cherry St
Vicksburg, MS 39180-3218
Phone: (601) 636-5703
Fax: (769) 230-3039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence P-0859 (MS)

Record details

NPI number1811683501
Entity typeIndividual (Type 1)
GenderFemale
Credentials P-LPC
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Family Coaching Clinic — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vicksburg