MATTHEW R ROARK LPC
NPI 1043957749
Counselor - Professional in Oneida, TN

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
133 W 2ND AVE, ONEIDA, TN 37841(423) 569-7979 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew R Roark Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW R ROARK LPC (NPI 1043957749) is an individual professional provider in Oneida, Tennessee and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043957749
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW R ROARKCredential: LPC
Location Address133 W 2ND AVEOneida, TN 37841-2023
Mailing Address240 W Tyrone RdOak Ridge, TN 37830-6571 · (865) 482-1076
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1043957749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
133 W 2ND AVE, Oneida, TN 37841

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew R Roark Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365893641
PECOS Enrollment IDI20240111000785
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Roark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
240 W TYRONE RD
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
133 W 2ND AVE
ONEIDA, TN 37841
Case Manager/Care Coordinator
133 W 2ND AVE
ONEIDA, TN 37841
Counselor (Mental Health)
133 W 2ND AVE
ONEIDA, TN 37841
Case Manager/Care Coordinator
133 W 2ND AVE
ONEIDA, TN 37841
Registered Nurse (Psychiatric/Mental Health)
133 W 2ND AVE
ONEIDA, TN 37841
Social Worker (Clinical)
133 W 2ND AVE
ONEIDA, TN 37841
Case Manager/Care Coordinator
133 W 2ND AVE
ONEIDA, TN 37841
Counselor (Mental Health)
133 W 2ND AVE
ONEIDA, TN 37841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Roark's NPI number?

The NPI number for Matthew Roark is 1043957749. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Matthew Roark located?

Matthew Roark practices at 133 W 2nd Ave, Oneida, TN 37841. The listed phone number is (423) 569-7979.

What is Matthew Roark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Roark enrolled in Medicare?

Yes. Matthew Roark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Matthew Roark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Roark reassigns Medicare benefits to Ridgeview Psychiatric Hospital And Center, Inc. (Oak Ridge, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Roark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Roark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Matthew Roark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Roark was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.