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SHANE ALAN ROARK
NPI 1558110551
Peer Specialist in Lexington, KY

Active since May 14, 2024
1351 NEWTOWN PIKE, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Shane Alan Roark NPPES

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

SHANE ALAN ROARK (NPI 1558110551) is an individual peer specialist in Lexington, Kentucky and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1558110551
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE ALAN ROARK
Location Address1351 NEWTOWN PIKELexington, KY 40511-1275
Mailing Address1351 Newtown PikeLexington, KY 40511-1275 · (859) 253-1686
Phone(859) 253-1686
Sole ProprietorNo
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1558110551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1351 NEWTOWN PIKE, Lexington, KY 40511
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Other Identifiers 1

Medicaid1790731081KY

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.

SARAH E FORD
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MICHAEL S STRATTON
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MRS. ANDREA C COATES LCSW
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
TEONNA WILSON
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
HOLLY L DICKISON
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MR. JAMES M MOUGHAN CPSYAF
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MS. LINDA J THOMAS MS, LPCC
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 233-0444
BRYAN L MANNING LPCC
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686

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 Shane Roark's NPI number?

The NPI number for Shane Roark is 1558110551. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Shane Roark located?

Shane Roark practices at 1351 Newtown Pike, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Shane Roark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Roark was last updated on May 14, 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.