Darin Roark

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

2628 SE Kimbrough LN
Lees Summit, MO 64063-1082

Phone

(816) 582-3508

NPI assigned

Oct 3, 2019

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jumpstart 2 Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lee's Summit, MO
  • NPI 1558162545

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1437790219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 SE KIMBROUGH LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631082",
            "telephone_number": "816-582-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 SE KIMBROUGH LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631082",
            "telephone_number": "816-582-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10516 W 129th Ter",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662133465",
            "country_code": "US",
            "telephone_number": "816-582-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARK",
        "first_name": "DARIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1437790219",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rizzi
• Raymond M Rizzi, DPM
• Jenna Renae Rizzo, CRNA
• Sara Rizzolo Smith
• Road to Recovery Counseling, LLC
• Emily Gail Robb, MD
• Lexi P Roberson, LMSW
• Robert a Bondi
• Kathryn S Roberts, M.S.
• Kylea Raye Roberts

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.