Individual provider Active NPI

Janet L. Roarabaugh, M.ED., NCC, LPC

  • Professional Counselor
  • Roaring Spring, PA
National Provider Identifier
1376512079
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC 000178 Issued in PA
Practice address
601 Wilson Ave
Roaring Spring, PA 16673-1351
Phone
(814) 241-0471
Fax
(814) 317-0341
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC 000178 PA Primary

Addresses

Primary practice location

601 Wilson Ave
Roaring Spring, PA 16673-1351

Mailing address

601 Wilson Ave
Roaring Spring, PA 16673-1351
Phone (814) 241-0471

Other identifiers 3

IdentifierTypeStateIssuer
1423594OtherPAHIGHMARK
7032352OtherPAAETNA
1019754560003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PC 000178PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heather D Redmond Past Accepting new patients
Mildred Baker LCSW LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1376512079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WILSON AVE",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731351",
            "telephone_number": "814-241-0471",
            "fax_number": "814-317-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILSON AVE",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731351",
            "telephone_number": "814-241-0471",
            "fax_number": "814-317-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARABAUGH",
        "first_name": "JANET",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.ED., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC 000178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1423594",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7032352",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019754560003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.