Melissa Rose Roark, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1801486 Issued in OH

Practice address

3730 Glenway Ave
Cincinnati, OH 45205-1354

Phone

(513) 508-4642

NPI assigned

Jul 26, 2017

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Lotus Oasis Counseling and Wellness LLC

  dba Lotus Oasis Counseling and Wellness

  • Mental Health Counselor
  • Canton, OH
  • NPI 1306776349
  NPD Authorized official

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1568986016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 VINEDALE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052046",
            "telephone_number": "513-508-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051354",
            "telephone_number": "513-508-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700491-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Roach
• Matthew Roach
• Phoebe Roache
• Road Less Traveled Behavioral (Road Less Traveled Behavioral Health LLC)
• Debby M Roaden
• Sherry R Roark, DENTAL ASSISTANT
• Timothy Mitchel Roark, MSN, APRN, FNP-C
• Christopher Scott Robards, MD
• Mark Jeffrey Robb-Havlicek, PHARMD, RPH, M.S.
• Amanda Kay Robb, LPN

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.