KELLY MARIE ROBERTS (PH.D.) – Marriage & Family Therapist, NPI 1790832632

Marriage & Family Therapist

KELLY MARIE ROBERTS (PH.D.) is a healthcare provider. based in Ada, Oklahoma. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials PH.D.. They hold a License No. 822 (OK). The NPI Number for KELLY MARIE ROBERTS (PH.D.) is 1790832632

Main info

Female

Sole Proprietor

24 Years Of Experience

Accepts Medicare Assignment

Name

KELLY MARIE ROBERTS (PH.D.)

NPI

1790832632

Phone

(580) 436-3980

Address

1921 STONECIPHER BLVD.

Enumeration Date

4 January 2007

Last Update Date

22 December 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2002 (24 years ago)

PAC ID

5294965984

Group Practice PAC ID

9537189261

Professional Enrollment ID

I20240202002517

Address ID

OK745360000CLPOXXXBOXX202

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

98 MARRIAGE AND FAMILY THERAPIST in OK

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Provider Addresses for KELLY MARIE ROBERTS (PH.D.)

Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
CHICKASAW NATION MEDICAL CENTER
ADA, OK 74820
Phone: (580) 436-3980
Fax: (405) 951-2858
Type: Location
13408 RAINTREE LN
EDMOND, OK 730137680
Phone: (405) 245-4345
Type: Mailing
13800 BENSON RD
EDMOND, OK 730136422
Phone: (405) 245-4345
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9537189261View full group profile

Name	Specialty	State
HEATHER JANELLE BLAGG (CNP)	Nurse Practitioner	OK
MR. OLIN W FENTON (OD)	O P T O M E T R Y	OK
LAURA M TURNER (LCSW)	Clinical Social Worker	OK
DR. DAKOTA SMITH WALDROOP (O.D.)	O P T O M E T R Y	OK
VU NGO (D.O.)	Dermatology, Family Practice	OK
Unknown Individual	-	OK
AMANDA LYN VANDENBURG (APRN-CNP)	Nurse Practitioner	OK
DR. CODY BLAINE POWELL (DC)	C H I R O P R A C T I C	OK
CHRISTOPHER LYNN SMITH (APRN-CNP, FNP-BC)	-	OK
DR. DONALD E BROOKS (D.O.)	Family Practice	OK

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Frequently asked questions

Can I cross-check KELLY MARIE ROBERTS (PH.D.) using NPI 1790832632?

NPI 1790832632 belongs to KELLY MARIE ROBERTS (PH.D.); compare other details if you need extra assurance.

Active or inactive — what applies to KELLY MARIE ROBERTS (PH.D.)?

You should see KELLY MARIE ROBERTS (PH.D.) as active in CMS-hosted NPPES data.

How would a patient describe KELLY MARIE ROBERTS (PH.D.)'s focus?

For KELLY MARIE ROBERTS (PH.D.), the primary taxonomy reads as Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.

What practice footprint exists for KELLY MARIE ROBERTS (PH.D.)?

Travel planning: use Ada, Oklahoma as the reference point for KELLY MARIE ROBERTS (PH.D.), then confirm.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.