ROARING BROOK LLC
NPI 1053934836
Clinic/Center - Rehabilitation, Substance Use Disorder in Lexington, KY
About Roaring Brook Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROARING BROOK LLC (NPI 1053934836) is a healthcare organization registered as a rehabilitation, substance use disorder in Lexington, Kentucky and active in the NPI registry since May 2020. The organization holds a CLIA Certificate of Compliance certificate valid through February 25, 2027 and lists John A Sanders, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roaring Brook Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Roaring Brook LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 18D2188156
Roaring Brook Recovery · Lexington, KYFrequently 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 Roaring Brook LLC's NPI number?
The NPI number for Roaring Brook LLC is 1053934836. It was assigned to this organization in the NPPES registry on May 27, 2020.
Where is Roaring Brook LLC located?
Roaring Brook LLC is located at 600 Perimeter Dr Ste 125, Lexington, KY 40517. The listed phone number is (866) 678-8123.
What is Roaring Brook LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Roaring Brook LLC enrolled in Medicare?
Yes. Roaring Brook LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roaring Brook LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Roaring Brook LLC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (3), Clinical Social Worker (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Roaring Brook LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 18D2188156) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Roaring Brook LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Roaring Brook LLC 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 Roaring Brook LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Roaring Brook Llc · NPI 1053934836
Rehabilitation, Substance Use Disorder organization in Lexington, Kentucky. Organization record, active in the CMS NPPES registry since May 27, 2020.
## Identity
- **NPI:** 1053934836 (Entity type: Organization)
- **Enumerated:** May 27, 2020
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** John Sanders, MEDICAL DOCTOR
## Practice location
- **Address:** 600 PERIMETER DR STE 125, Lexington, KY 40517-4296
- **Phone:** (866) 678-8123 · **Fax:** (877) 679-4828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (3), Clinical Social Worker (1), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053934836) · Data from the CMS NPPES public registry.