Organization Active NPI

Roach Counseling and Consultation, PLLC

  • Mental Health Counselor
  • Clemmons, NC
National Provider Identifier
1164244596
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROACH COUNSELING AND CONSULTATION, PLLC
Practice address
3844 Clemmons Rd Ste a-6
Clemmons, NC 27012-7532
Phone
(336) 497-1898
NPI assigned
Oct 28, 2024
Last updated
May 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Yamuna Cleopatra Roach, LCMHC-ANPI 1487410726
Title
Licensed Counselor
Phone
(336) 470-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3844 Clemmons Rd Ste a-6
Clemmons, NC 27012-7532

Mailing address

109 Applemoor CT
Clemmons, NC 27012-7084
Phone (336) 470-7014

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1164244596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 APPLEMOOR CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127084",
            "telephone_number": "336-470-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 CLEMMONS RD STE A-6",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127532",
            "telephone_number": "336-497-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROACH COUNSELING AND CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "YAMUNA",
        "authorized_official_middle_name": "CLEOPATRA",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "336-470-7014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.