Individual provider

Johnathan Roach

Professional Counselor Case Manager/Care Coordinator

Johnathan Roach is a Professional Counselor in Arkadelphia, AR, registered under NPI 1124755715. 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 2607 CADDO ST STE 6, Arkadelphia, AR 71923. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2607 CADDO ST STE 6, Arkadelphia, AR 71923 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P2507012 AR Professional Counselor primary
91413 TX Professional Counselor

Licences are recorded in 2 states: AR, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Arkansas and Texas. The practice address on file is in Arkadelphia, AR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AR Arkansas practice address
Licence
P2507012
Specialty
Professional Counselor
Verify with the AR board →
TX Texas
Licence
91413
Specialty
Professional Counselor
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

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 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional P2507012 AR primary
101YP2500X Professional Counselor Professional 91413 TX
171M00000X Case Manager/Care Coordinator

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.

NPI1124755715 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 3, 2022
Last updatedJul 22, 2025
StatusActive
Sole proprietorYes
Practice address 2607 CADDO ST STE 6
Arkadelphia, AR 71923
(870) 230-8217
Mailing address 10311 W MARKHAM ST
Little Rock, AR 72205
This record was updated on Jul 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124755715 passes the NPI check digit test The final digit 5 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 1 2 4 7 5 5 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 5 5 1 7 2

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

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 1124755715?
NPI 1124755715 is the National Provider Identifier assigned to Johnathan Roach in Arkadelphia, AR. 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 Johnathan Roach?
The phone number on file with NPPES is (870) 230-8217, last updated Jul 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124755715 a valid number?
Yes. 1124755715 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.