MRS. HEATHER JOY ROARK (NPI# 1619048980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619048980 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER JOY ROARK |
| Other Name | MS. HEATHER JOY STANAWAY |
| Credential | PSY D, LP |
| Practice Address |
624 13th St S Virginia MN 55792-3149 |
| Mailing Address |
Po Box 1188 Virginia MN 55792-1188 |
| Practice Telephone | 2187492881 |
| Practice Fax Number | 2187493806 |
| Mailing Telephone | 2187492881 |
| Mailing Fax Number | 2187493806 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5089 | MN | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113924 | Heather Yvonne Roark | Social Worker | 4701 Fairway Ave, North Little Rock, AR 72116-8066 | 2017-09-21 |
| 1033469457 | Heather Roark | Counselor | 3435 W Craig Rd Ste A, North Las Vegas, NV 89032-5116 | 2012-09-12 |
| 1548363179 | Heather Joy Roark | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2006-09-07 |
| Street Address |
624 13TH ST S |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487754586 | Karen L. Pajari | Psychiatry & Neurology | 624 13th St S, Virginia, MN 55792-3149 | 2006-09-25 |
| 1497389647 | Laura Larsen | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2020-02-26 |
| 1063983146 | Brooke L. Zupancich | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2018-12-16 |
| 1295200624 | Cassandra Lee Kotnik | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2018-10-12 |
| 1104312883 | Drew S. Flaschberger | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2018-07-06 |
| 1124475785 | Enrico Thomas Welsch | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2016-05-24 |
| 1013329937 | Rebecca Leaders | Marriage & Family Therapist | 624 13th St S, Virginia, MN 55792-3149 | 2014-05-27 |
| 1609292465 | Sara M Ewing | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2014-03-17 |
| 1255663142 | Kristin Gildseth Erie | Social Worker | 624 13th St S, Range Mental Healthcenter, Virginia, MN 55792-3149 | 2010-02-03 |
| 1770723157 | Sara D Rohr | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962537282 | Jonathan Speare | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792-2457 | 2007-02-23 |
| 1134220528 | Barbara J Thorne | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1366659005 | Speare & Sampson Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55792 | 2007-05-16 |
| 1508086679 | Speare Psychological Services Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55723 | 2007-04-30 |
| 1174615058 | Autumn V Cole | Psychologist | 624 S 13th St, Virginia, MN 55792 | 2006-09-29 |
| 1114028586 | Robert W Mcallister Jr. | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1801997044 | Craig D Stevens | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1992806384 | Susan M Gillespie | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1265533640 | Mary J Carpenter | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.