Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELIJAH ROACH LCAS A
NPI 1235054891
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since August 12, 2026
10348 PARK RD, CHARLOTTE, NC 28210(704) 288-1097 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elijah Roach Lcas A NPPES

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

ELIJAH ROACH LCAS A (NPI 1235054891) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (31576) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1235054891
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELIJAH ROACHCredential: LCAS A
Location Address10348 PARK RDCharlotte, NC 28210-8507
Mailing Address10348 Park RdCharlotte, NC 28210-8507 · (704) 288-1097
Sole ProprietorNo
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
NPI 1235054891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · 31576
10348 PARK RD, Charlotte, NC 28210

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.

Counselor (Mental Health)
10348 PARK RD
CHARLOTTE, NC 28210
Substance Abuse Rehabilitation Facility
10348 PARK RD
CHARLOTTE, NC 28210
Counselor
10348 PARK RD
CHARLOTTE, NC 28210
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Counselor (Addiction (Substance Use Disorder))
10348 PARK RD
CHARLOTTE, NC 28210
Counselor (Professional)
10348 PARK RD
CHARLOTTE, NC 28210

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 Elijah Roach's NPI number?

The NPI number for Elijah Roach is 1235054891. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Elijah Roach located?

Elijah Roach practices at 10348 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 288-1097.

What is Elijah Roach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elijah Roach was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.