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MRS. TARA SANDREA ROACH MSW,LCSW LCAS,CCSOTS
NPI 1164879854
Social Worker - Clinical in Greenville, NC

Active since May 23, 2016PECOS Enrolled
2428 CHARLES BLVD STE 102, GREENVILLE, NC 27858(919) 337-2644(919) 882-9289 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Jun 21, 2023 (2 updates tracked since 2023).

About Mrs. Tara Sandrea Roach Msw,lcsw Lcas,ccsots NPPES

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

MRS. TARA SANDREA ROACH MSW,LCSW LCAS,CCSOTS (NPI 1164879854) is an individual clinical provider in Greenville, North Carolina, licensed in North Carolina (CO13763) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1164879854
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TARA SANDREA ROACHCredential: MSW,LCSW LCAS,CCSOTS
Location Address2428 CHARLES BLVD STE 102Greenville, NC 27858-6052
Mailing AddressPo Box 3883Greenville, NC 27836-1883 · (252) 531-6226 · Fax (919) 882-9289
Phone(919) 337-2644
Fax(919) 882-9289
Sole ProprietorYes
Enumeration DateMay 23, 2016
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1164879854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · CO13763
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3168 (NC)
2428 CHARLES BLVD STE 102, Greenville, NC 27858
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Secondary Practice Location 1

Location 1600 Lynndale Ct Ste FGreenville, NC 27858-5443 · Phone (252) 353-8001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tara Sandrea Roach Msw,lcsw Lcas,ccsots 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.

Medicare Billing Reassignment

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

Dominating Therapeutic Services, PLLC
Same address
Clinical
2428 CHARLES BLVD STE 102
Greenville, NC 27858
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1871276998 (919) 882-9289

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27858 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DOMINATING THERAPEUTIC SERVICES, PLLC
Social Worker (Clinical)
2428 CHARLES BLVD STE 102
GREENVILLE, NC 27858
Pitt County (919) 882-9289

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 Tara Roach's NPI number?

The NPI number for Tara Roach is 1164879854. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Tara Roach located?

Tara Roach practices at 2428 Charles Blvd Ste 102, Greenville, NC 27858. The listed phone number is (919) 337-2644.

What is Tara Roach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tara Roach enrolled in Medicare?

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

Which organization bills Medicare for Tara Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Roach reassigns Medicare benefits to Dominating Therapeutic Services, PLLC (Greenville, NC). 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 Tara Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Roach accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 2 other insurers list Tara 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 Tara Roach was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.