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

Mrs. Tracie Jacqueline Roberson, LPC

Individual provider Mental Health Counselor · NPI 1770931446

Mrs. Tracie Jacqueline Roberson, LPC is a Mental Health Counselor in San Antonio, Texas. Qualified in 2012, 14 years ago. Practices with Mood Clinical, P. C., a 100-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1485 N Ellison Dr SITE#115
San Antonio, TX 78251-4001
Phone: (210) 683-6329
Fax: (210) 855-9942
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 71272 (TX)

Record details

NPI number1770931446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESJuly 22, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mood Clinical, P. C. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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