Individual provider

Anthony Roach, PC-IT, SW

Professional Counselor Social Worker Medicare enrolled

Anthony Roach, PC-IT, SW is a Professional Counselor in Brown Deer, WI, registered under NPI 1083968200. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1281-226 WI Professional Counselor primary
7196-120 WI Social Worker

This provider holds licence 1281-226 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
9537510391
Enrollment ID
I20240105003918

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 1281-226 WI primary
104100000X Social Worker 7196-120 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083968200 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 9, 2012
Last updatedNov 9, 2012
StatusActive
Sole proprietorYes
CredentialPC-IT, SW
Practice address 3900 W BROWN DEER RD
STE 200
Brown Deer, WI 53209
(414) 540-2170
Fax (414) 540-2171
This record was last updated on Nov 9, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1083968200 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 9 6 8 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 9 6 7 2 0

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083968200?
NPI 1083968200 is the National Provider Identifier assigned to Anthony Roach, PC-IT, SW in Brown Deer, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Anthony Roach, PC-IT, SW?
The phone number on file with NPPES is (414) 540-2170, last updated Nov 9, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Anthony Roach, PC-IT, SW accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083968200 a valid number?
Yes. 1083968200 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.