Jon Bradley Roark , LPC
Counselor • Columbia, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Roark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jon Roark, LPC was a registered Counselor practicing in Columbia, MO. Throughout an active medical career spanning 15 years, Jon Roark provided care at the practice location at 601 BUSINESS LOOP 70 W STE 153A until profile deactivation on 2024-11-28.
Practice Location & Contact Primary Location
601 Business Loop 70 W Ste 153a
Columbia, MO 652032599
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Columbia, MO
Practicing in Columbia, MO (1111 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Social Worker - Clinical
PHDLCSWSW002258
Counselor - Mental Health
Licensed Professional Counselor
Counselor
Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 28, 2024
Registered at 6833 82ND ST STE 102, LUBBOCK, TX 794245070 (Tel: 8064384510)
Registered at 6833 82ND ST STE 102, LUBBOCK, TX 794245070 (Tel: 8064384510)
NPI status registered as active in NPPES database
Registered at 601 BUSINESS LOOP 70 W STE 153A, COLUMBIA, MO 652032599 (Tel: 5734994572)
Registered at 601 BUSINESS LOOP 70 W STE 153A, COLUMBIA, MO 652032599 (Tel: 5734994572)
Recorded as JON ROARK, LPC
Counselor (License #2009000984 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
601 Business Loop 70 W Ste 153a
Columbia, MO 652032599
Phone: 5734994572
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