Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215459011 Individual Practitioner Female Practitioner

Katie Roach , LPCC

Counselor - Professional • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Katie Roach, LPCC is a registered healthcare professional specializing in Counselor - Professional in Fargo, ND. Practice services are available at 2701 12TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2701 12th Ave S

Fargo, ND 581038753

Telephone 7014514900
Fax 6519250057
Associated Practice Facility / Clinic
🏢 Village Family Service Center Facility NPI 1568492353

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
183 Specialists

Practicing in Fargo, ND (483 Statewide)

Telehealth Adoption Rate
2.7% 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: 2026-01-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ND 905-7-1-17-350

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License ND SUP-LPCC-205

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1471638 (ND)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joni Medenwald , MSW, LSW

Social Worker - Clinical

NPI 1003063751

Master of Social Work, Licensed Social Worker

Rachel Blumhardt

Counselor - Professional

NPI 1003146861
Kaitlin Doyle , LAPC

Counselor - Professional

NPI 1013689033
Kayla Corrigan , MFT

Marriage & Family Therapist

NPI 1013735760

Marriage and Family Therapist

Alex Gregory , LMFT

Marriage & Family Therapist

NPI 1023426020

Licensed Marriage and Family Therapist

NPI 1043934847

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 13, 2026

Registered at 2701 12TH AVE S, FARGO, ND 581038753 (Tel: 7014514900)

📍
Updated Business Mailing Address January 13, 2026

Registered at 2701 12TH AVE S, FARGO, ND 581038753 (Tel: 7014514900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2026

Counselor (License #905-7-1-17-350 in ND)

👤
Provider Name / Credentials Updated January 07, 2023

Recorded as KATIE ROACH, LPCC

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2017

Registered at 1201 25TH ST S, FARGO, ND 581032311 (Tel: 7014514855)

📍
Updated Business Mailing Address July 13, 2017

Registered at PO BOX 9859, FARGO, ND 581069859 (Tel: 7014514900)

👤
Provider Name / Credentials Updated July 13, 2017

Recorded as KATIE YOUNGBAUER, LAPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Counselor (License #905-7-1-17A in ND)

🟢
Initial NPI Registration & Enumeration July 13, 2017

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: 1215459011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2017
Last Update: January 13, 2026
Sole Proprietor: No

Mailing Address

2701 12th Ave S

Fargo, ND 581038753

Phone: 7014514900

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.