Active NPI
Sheryl a Roach, PHD, LPC PC
- Professional Counselor
- Holmdel, NJ
National Provider Identifier
1033795554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SHERYL A ROACH, PHD, LPC PC
- Practice address
- 717 N Beers St Ste 2B
Holmdel, NJ 07733-1525 - Phone
- (732) 264-2440
- NPI assigned
- Mar 23, 2021
- Last updated
- May 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheryl A Roach, PHD, LPC
- Title
- Director
- Phone
- (732) 264-2440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
717 N Beers St Ste 2B
Holmdel, NJ 07733-1525
Mailing address
717 N Beers St Ste 2B
Holmdel, NJ 07733-1525
Phone (732) 264-2440
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Holmdel, NJ
- NPI 1487290987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1033795554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N BEERS ST STE 2B",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331525",
"telephone_number": "732-264-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N BEERS ST STE 2B",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331525",
"telephone_number": "732-264-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERYL A ROACH, PHD, LPC PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-264-2440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.