JOHNATHAN SHANE ROACH
NPI 1124755715
Counselor - Professional in Arkadelphia, AR
About Johnathan Shane Roach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHAN SHANE ROACH (NPI 1124755715) is an individual professional provider in Arkadelphia, Arkansas, licensed in Arkansas (P2507012) and active in the NPI registry since August 2022. He maintains a secondary practice location in Murfreesboro.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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.
ARKADELPHIA, AR 71923
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 Johnathan Roach's NPI number?
The NPI number for Johnathan Roach is 1124755715. It was assigned to this individual provider in the NPPES registry on August 3, 2022.
Where is Johnathan Roach located?
Johnathan Roach practices at 2607 Caddo St Ste 6, Arkadelphia, AR 71923. The listed phone number is (870) 230-8217.
What is Johnathan Roach's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
What insurance does Johnathan Roach accept?
Health plans from Blue Cross and Blue Shield of Texas list Johnathan 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 Johnathan Roach was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Johnathan Shane Roach · NPI 1124755715
Professional provider in Arkadelphia, Arkansas. Individual provider, active in the CMS NPPES registry since August 3, 2022.
## Identity
- **NPI:** 1124755715 (Entity type: Individual)
- **Enumerated:** August 3, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2507012 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2607 CADDO ST STE 6, Arkadelphia, AR 71923-5307
- **Phone:** (870) 230-8217
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124755715) · Data from the CMS NPPES public registry.