JENNIFER ROACH MA LCMHC NPI 1003247677

NPI Information

  • NPI: 1003247677
  • Provider Name: JENNIFER ROACH, MA, LCMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 342 S 850 W APT 306
    AMERICAN FORK, UT
    ZIP 84003
  • Phone: (206) 427-7754

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NPI Details

Jennifer Roach, MA, LCMHC is a mental health counselor in American Fork, UT with 7 years of experience. Jennifer Roach, MA, LCMHC NPI is 1003247677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

342 S 850 W APT 306
AMERICAN FORK, UT
ZIP 84003-654
Phone: (206) 427-7754
Fax: (425) 258-5275

The NPI 1003247677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLH61155476WASHINGTONNo
2101YM0800XCounselorMental Health12888612-6004UTAHNo
3101YM0800XCounselorMental HealthLCPC-8331IDAHONo
4101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12064277754OTHERCONTACT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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