LARAE ROACH
NPI 1962914416
Counselor - Addiction (Substance Use Disorder) in Batavia, OH

Active since October 24, 2017PECOS Enrolled
1074 WASSERMAN WAY, BATAVIA, OH 45103(513) 354-5200 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larae Roach NPPES

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

LARAE ROACH (NPI 1962914416) is an individual addiction (substance use disorder) provider in Batavia, Ohio, licensed in Ohio (LCDC.131227-3) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962914416
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLARAE ROACH
Location Address1074 WASSERMAN WAYBatavia, OH 45103-1911
Mailing Address1074 Wasserman WayBatavia, OH 45103-1911
Sole ProprietorYes
Enumeration DateOctober 24, 2017
NPI 1962914416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · LCDC.131227-3
1074 WASSERMAN WAY, Batavia, OH 45103

Other Identifiers 1

OtherLCDC.131227-3OH · Licensure

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larae Roach 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.

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 (Addiction (Substance Use Disorder))
1074 WASSERMAN WAY
BATAVIA, OH 45103
Counselor (Professional)
1074 WASSERMAN WAY
BATAVIA, OH 45103
Public Health or Welfare
1074 WASSERMAN WAY
BATAVIA, OH 45103
Case Manager/Care Coordinator
1074 WASSERMAN WAY
BATAVIA, OH 45103

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 1074 Wasserman Way, Batavia, OH 45103. The listed phone number is (513) 354-5200.

What is Larae Roach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Larae Roach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Larae Roach was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.