LARAE ROACH (NPI# 1962914416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962914416 |
| Entity Type | Individual |
| Full Name | LARAE ROACH |
| Practice Address |
1074 Wasserman Way Batavia OH 45103-1911 |
| Practice Telephone | 5133545200 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC.131227-3 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSURE | LCDC.131227-3 | 01 |
| Street Address |
1074 WASSERMAN WAY |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366458465 | Clermont Recovery Center, Inc. | Public Health or Welfare | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2006-07-31 |
| 1952817611 | Daniel Little | Case Manager/Care Coordinator | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2017-12-18 |
| 1760997415 | Katlyn Rose Morrison | Social Worker | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2017-12-04 |
| 1174035687 | Carol Ann Kidd | Counselor | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2017-10-25 |
| 1306391321 | Heather Autumn Cokl | Counselor | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2016-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1992168579 | Kellie Luley | Counselor | 4560 State Route 222, Batavia, OH 45103-9778 | 2016-04-01 |
| 1942663844 | Scott Stacy | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2016-03-30 |
| 1750791026 | Cathy Jo Vanderpool | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2014-05-07 |
| 1306144167 | Kelly Marie Young | Counselor | 201 Houston St Ste 104, Batavia, IL 60510-1960 | 2011-03-03 |
| 1811197924 | Bruce Edward Baker | Counselor | 430 East Main St., Batavia, NY 14020 | 2007-07-18 |
| 1396353272 | Nicole Wagner | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-07-16 |
| 1689205189 | Jessica Griffith | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-02-03 |
| 1063072759 | Diamond Lee Amber Blevins | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2019-06-16 |
| 1215402854 | Hannah Marie Calvert | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2018-10-10 |
| Find all providers in BATAVIA | ||||
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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.