Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN SHANE ROACH
Active Sole ProprietorJOHNATHAN SHANE ROACH is a Professional Counselor healthcare provider located in ARKADELPHIA, Arkansas. NPI 1124755715 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ARKADELPHIA, AR
Registration Details
- NPI Number
- 1124755715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2022 (3.8463934637116 yrs)
- Last Updated
- Jul 22, 2025
- Licenses
-
91413 (TX)P2507012 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2607 CADDO ST STE 6ARKADELPHIA, AR, 719235307Browse AR providers · Browse ZIP 71923
- Phone
- 8702308217
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Case Manager
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ARKADELPHIA, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. FELICIA HIGGS | LPC | 1770558256 |
| MISS AMANDA CHANELL SNOWDEN | LPC | 1871662759 |
| MS. REBECCA MANNING LANGLEY | L.P.C. | 1164590261 |
| MS. ANGELA RICHERSON | M.S., L.A.C. | 1982734950 |
| MRS. KENDRA SEEL | M.S., L.P.C. | 1164552170 |
| BEVERLY JO BEJARANO | LPC | 1023274347 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.