Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124755715 Individual Practitioner Male Practitioner

Johnathan Shane Roach

Counselor - Professional • Arkadelphia, AR

Professional Overview & Biography Verified Profile Summary

Johnathan Roach is a registered healthcare professional specializing in Counselor - Professional in Arkadelphia, AR. Practice services are available at 2607 CADDO ST STE 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2607 Caddo St Ste 6

Arkadelphia, AR 719235307

Telephone 8702308217
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Arkadelphia, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Arkadelphia, AR (1670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AR P2507012

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License TX 91413

Definition to come...

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Practice Locations

321 E 13th St

Murfreesboro, AR 719589541

Phone: 8702853699

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Peggy Burt , LAC

Counselor - Professional

NPI 1003233693

Licensed Acupuncturist

Lesia Green

Case Manager/Care Coordinator

NPI 1003781782
Danita Stubbs , MHPP

Case Manager/Care Coordinator

NPI 1003945734

Mental Health Professional Practitioner

Susan Hunter

Case Manager/Care Coordinator

NPI 1013211283
Perry Smith

Case Manager/Care Coordinator

NPI 1013560788
Arianna Leeper

Case Manager/Care Coordinator

NPI 1013588474

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address July 22, 2025

Registered at 10311 W MARKHAM ST, LITTLE ROCK, AR 722052135 (Tel: 8703402636)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Counselor (License #91413 in TX)

NPI Profile Active August 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2022

Registered at 2607 CADDO ST STE 6, ARKADELPHIA, AR 719235307 (Tel: 8702308217)

📍
Updated Business Mailing Address August 03, 2022

Registered at 2607 CADDO ST STE 6, ARKADELPHIA, AR 719235307 (Tel: 8702308217)

👤
Provider Name / Credentials Updated August 03, 2022

Recorded as JOHNATHAN ROACH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124755715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2022
Last Update: July 22, 2025
Sole Proprietor: Yes

Mailing Address

10311 W Markham St

Little Rock, AR 722052135

Phone: 8703402636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.