MS. JENNIFER ROACH
NPI 1306240403
Counselor - Professional in Huntersville, NC
About Ms. Jennifer Roach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER ROACH (NPI 1306240403) is an individual professional provider in Huntersville, North Carolina, licensed in North Carolina (11050) and active in the NPI registry since October 2014. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Jennifer Roach has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTERSVILLE, NC 28078
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 Jennifer Roach's NPI number?
The NPI number for Jennifer Roach is 1306240403. It was assigned to this individual provider in the NPPES registry on October 17, 2014.
Where is Jennifer Roach located?
Jennifer Roach practices at 16905 Northcross Dr Ste 170, Huntersville, NC 28078. The listed phone number is (704) 268-9058.
What is Jennifer Roach's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Roach enrolled in Medicare?
No. Jennifer Roach has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jennifer Roach was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Jennifer Roach · NPI 1306240403
Professional provider in Huntersville, North Carolina. Individual provider, active in the CMS NPPES registry since October 17, 2014.
## Identity
- **NPI:** 1306240403 (Entity type: Individual)
- **Enumerated:** October 17, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11050 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 16905 NORTHCROSS DR STE 170, Huntersville, NC 28078-5013
- **Phone:** (704) 268-9058
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 4, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1306240403) · Data from the CMS NPPES public registry.