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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA ROARK LPC
NPI 1629768536
Counselor - Professional in Walnut Ridge, AR

Active since May 12, 2023
1425 W. MAIN STREET, WALNUT RIDGE, AR 72476(870) 886-5303(870) 886-7002 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, May 12, 2023 (2 updates tracked since 2023).

About Andrea Roark Lpc NPPES

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

ANDREA ROARK LPC (NPI 1629768536) is an individual professional provider in Walnut Ridge, Arkansas, licensed in Arkansas (P2409009) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1629768536
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA ROARKCredential: LPC
Location Address1425 W. MAIN STREETWalnut Ridge, AR 72476-1431
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 886-5303
Fax(870) 886-7002
Sole ProprietorNo
Enumeration DateMay 12, 2023
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1629768536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2409009
1425 W. MAIN STREET, Walnut Ridge, AR 72476
Open in Google Maps ↗

Other Names 1

Professional Name (2)Andrea Roark Lac

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.

MRS. JULIA MICHELLE BLEVINS MHPP
Case Manager/Care Coordinator
1425 W. MAIN STREET
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-5303
LISA MARIE WATSON MHPP
Case Manager/Care Coordinator
1425 W. MAIN STREET
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-5303

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 Andrea Roark's NPI number?

The NPI number for Andrea Roark is 1629768536. It was assigned to this individual provider in the NPPES registry on May 12, 2023. The provider is also known as Andrea Roark Lac.

Where is Andrea Roark located?

Andrea Roark practices at 1425 W. Main Street, Walnut Ridge, AR 72476. The listed phone number is (870) 886-5303.

What is Andrea Roark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Andrea Roark was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.