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

Mr. Robert Tom Rollis III, LPC

Individual provider Professional Counselor · NPI 1710158308

Mr. Robert Tom Rollis III, LPC is a Mental Health Counselor in Lansing, Michigan. Qualified in 2003, 23 years ago. Practices with Kairos Counseling and Wellness, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
23
Licensed in
AZ, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4136 Legacy Pkwy
Lansing, MI 48911-4265
Phone: (928) 771-3544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401018728 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 12618 (AZ)

Record details

NPI number1710158308
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 21, 2008
Last updated in NPPESFebruary 19, 2022
Certification dateFebruary 19, 2022
Mailing address2301 Meadowcroft Dr, Lansing, MI 48912-3517

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kairos Counseling And Wellness — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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