1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Clinic Center
  6. NPI Profile

ROARING BROOK LLC
NPI 1053934836
Clinic/Center - Rehabilitation, Substance Use Disorder in Lexington, KY

Active since May 27, 2020CLIA 18D2188156 · Certificate of Compliance
600 PERIMETER DR STE 125, LEXINGTON, KY 40517(866) 678-8123(877) 679-4828 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Jul 11, 2022, Jun 22, 2020 and 1 more (4 updates tracked since 2020).

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

NPI1053934836
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameROARING BROOK LLC
Location Address600 PERIMETER DR STE 125Lexington, KY 40517-4296
Mailing Address600 Perimeter Dr Ste 125Lexington, KY 40517-4296 · (866) 678-8123 · Fax (877) 679-4828
Phone(866) 678-8123
Fax(877) 679-4828
Organization SubpartNo
Authorized OfficialJohn A SandersMedical Doctor · (866) 678-8123
Enumeration DateMay 27, 2020
Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1053934836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
600 PERIMETER DR STE 125, Lexington, KY 40517
Open in Google Maps ↗

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, KY
Active · expires Feb 25, 2027
CLIA Number18D2188156
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorMs. Pamela F. Keller
Laboratory Phone(866) 678-8123
Laboratory LocationRoaring Brook Recovery600 Perimeter Dr Ste 125 & Suite 250, Lexington, KY 40517
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

MATTHEW NICHOLAS OTTO TCADC
Counselor
600 PERIMETER DR STE 125
LEXINGTON, KY 40517
Fayette County (866) 678-8123
MR. JARROD CHASE LCSW
Social Worker (Clinical)
600 PERIMETER DR STE 125
LEXINGTON, KY 40517
Fayette County (866) 678-8123
MR. DAVID THOMAS LCADC
Counselor
600 PERIMETER DR STE 125
LEXINGTON, KY 40517
Fayette County (866) 678-8123
KELSEY HESS
Counselor (Professional)
600 PERIMETER DR STE 125
LEXINGTON, KY 40517
Fayette County (866) 678-8123

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 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.

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.

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 2 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.