JENNY ROARK
NPI 1932484771
Counselor - Mental Health in Lawrenceville, IL

Active since October 12, 2011
RR 1 BOX 277, LAWRENCEVILLE, IL 62439(618) 943-3754(618) 943-3657 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Roark NPPES

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

JENNY ROARK (NPI 1932484771) is an individual mental health provider in Lawrenceville, Illinois and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1932484771
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNY ROARK
Location AddressRR 1 BOX 277Lawrenceville, IL 62439-9784
Mailing AddressPo Box 516Lawrenceville, IL 62439-0516 · (618) 943-3754 · Fax (618) 943-3657
Fax(618) 943-3657
Sole ProprietorNo
Enumeration DateOctober 12, 2011
NPI 1932484771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
RR 1 BOX 277, Lawrenceville, IL 62439

Other Identifiers 3

Medicare PIN207184IL
Medicare OSCAR/certification207184IL
Medicaid376006178008IL

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
RR 1 BOX 277
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
RR 1 BOX 277
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
RR 1 BOX 277
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
RR 1 BOX 277
LAWRENCEVILLE, IL 62439

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 Jenny Roark's NPI number?

The NPI number for Jenny Roark is 1932484771. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Jenny Roark located?

Jenny Roark practices at Rr 1 Box 277, Lawrenceville, IL 62439. The listed phone number is (618) 943-3754.

What is Jenny Roark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jenny Roark was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.