MADYSON ELISE ROARK
NPI 1205268430
Counselor in Mcloud, OK

Active since July 30, 2013
29501 KICKAPOO RD, MCLOUD, OK 74851(405) 964-3020 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madyson Elise Roark NPPES

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

MADYSON ELISE ROARK (NPI 1205268430) is an individual counselor in Mcloud, Oklahoma and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1205268430
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADYSON ELISE ROARK
Location Address29501 KICKAPOO RDMcloud, OK 74851-8320
Mailing Address29501 Kickapoo RdMcloud, OK 74851-8320 · (405) 964-3020
Sole ProprietorYes
Enumeration DateJuly 30, 2013
Last NPPES UpdateSeptember 18, 2014
NPI 1205268430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
29501 KICKAPOO RD, Mcloud, OK 74851

Other Providers at the Same Location NPPES 6

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

Dentist
29501 KICKAPOO RD
MCLOUD, OK 74851
Case Manager/Care Coordinator
29501 KICKAPOO RD
MCLOUD, OK 74851
Counselor (Addiction (Substance Use Disorder))
29501 KICKAPOO RD
MCLOUD, OK 74851
Physician Assistant
29501 KICKAPOO RD
MCLOUD, OK 74851
Substance Abuse Rehabilitation Facility
29501 KICKAPOO RD, MABEL BASSETT CORRECTIONAL
MCLOUD, OK 74851
Counselor (Professional)
29501 KICKAPOO RD
MCLOUD, OK 74851

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 Madyson Roark's NPI number?

The NPI number for Madyson Roark is 1205268430. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Madyson Roark located?

Madyson Roark practices at 29501 Kickapoo Rd, Mcloud, OK 74851. The listed phone number is (405) 964-3020.

What is Madyson Roark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Madyson Roark was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.