ANTHONY ROACH PC-IT, SW
NPI 1083968200
Counselor - Professional in Brown Deer, WI

Active since November 09, 2012PECOS Enrolled
3900 W BROWN DEER RD, STE 200, BROWN DEER, WI 53209(414) 540-2170(414) 540-2171 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony Roach Pc-it, Sw NPPES

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

ANTHONY ROACH PC-IT, SW (NPI 1083968200) is an individual professional provider in Brown Deer, Wisconsin, licensed in Wisconsin (1281-226) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083968200
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANTHONY ROACHCredential: PC-IT, SW
Location Address3900 W BROWN DEER RD, STE 200Brown Deer, WI 53209-1220
Mailing Address3900 W Brown Deer Rd, Ste 200Brown Deer, WI 53209-1220 · (414) 540-2170 · Fax (414) 540-2171
Fax(414) 540-2171
Sole ProprietorYes
Enumeration DateNovember 9, 2012
NPI 1083968200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 1281-226
Also ListedSocial WorkerTaxonomy 104100000X · License 7196-120 (WI)
3900 W BROWN DEER RD, Brown Deer, WI 53209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anthony Roach Pc-it, Sw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
3900 W BROWN DEER RD
BROWN DEER, WI 53209
Counselor (Professional)
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor (Professional)
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor (Addiction (Substance Use Disorder))
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Art Therapist
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209

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 Anthony Roach's NPI number?

The NPI number for Anthony Roach is 1083968200. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Where is Anthony Roach located?

Anthony Roach practices at 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.

What is Anthony Roach's specialty?

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

Is Anthony Roach enrolled in Medicare?

Yes. Anthony Roach is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Roach accept?

Health plans from Medica, Network Health and UnitedHealthcare list Anthony Roach 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 Anthony Roach was last updated on November 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.