Ty Roberson
NPI 1558702647 · Mental Health Counselor · Portland, OR
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ty Roberson is a Mental Health Counselor provider in Portland, OR (NPI 1558702647).
Provider details
- NPI number
- 1558702647
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2013-07-17
Frequently asked questions
- What is Ty Roberson's NPI number?
- Ty Roberson's National Provider Identifier (NPI) is 1558702647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ty Roberson's specialty?
- Ty Roberson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ty Roberson located?
- Ty Roberson's practice location on file with NPPES is 33 Nw Broadway, Portland, OR 97209-3580.
- What is Ty Roberson's phone number?
- The practice phone number listed in the NPPES registry for Ty Roberson is (503) 228-7134.
- Does Ty Roberson accept Medicare?
- Ty Roberson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ty Roberson's NPI active?
- Yes — Ty Roberson's NPI (1558702647) is active in the NPPES registry as of the last update on 2013-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.