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LARAE ROACH LISW-S, LICDC
NPI 1962914416
Social Worker - Clinical in Columbus, OH

Active since October 24, 2017PECOS Enrolled
2323 LAKE CLUB DR, COLUMBUS, OH 43232(380) 242-2900 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2026, Oct 24, 2017 (2 updates tracked since 2017).

About Larae Roach Lisw-s, Licdc NPPES

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

LARAE ROACH LISW-S, LICDC (NPI 1962914416) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I.2203881-SUPV) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962914416
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLARAE ROACHCredential: LISW-S, LICDC
Location Address2323 LAKE CLUB DRColumbus, OH 43232-3101
Mailing Address2323 Lake Club DrColumbus, OH 43232-3101
Phone(380) 242-2900
Sole ProprietorYes
Enumeration DateOctober 24, 2017
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1962914416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2203881-SUPV
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161889 (OH)
2323 LAKE CLUB DR, Columbus, OH 43232
Open in Google Maps ↗

Other Identifiers 1

OtherLCDC.131227-3OH · Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larae Roach Lisw-s, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Larae Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Behavioral Health Center
124 mi
Adult Mental Health
29201 AURORA RD # 400
Solon, OH 44139
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1174066096 (216) 220-8774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANDREW LAVENDER
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
EBONI DAVIS
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
CARRON JOHNSON
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
ALPHA BARRY
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
ALEXANDRIA MUNCIE
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
DRENEQ GIBSON
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
ANGELO ROBINSON
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
JOHN M GLOVER III
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573

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 Larae Roach's NPI number?

The NPI number for Larae Roach is 1962914416. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Larae Roach located?

Larae Roach practices at 2323 Lake Club Dr, Columbus, OH 43232. The listed phone number is (380) 242-2900.

What is Larae Roach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Larae Roach enrolled in Medicare?

Yes. Larae Roach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larae Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larae Roach reassigns Medicare benefits to Thrive Behavioral Health Center (Solon, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larae Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larae Roach accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Larae Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larae Roach was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.