Tammy Lynn Roark, LADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1621 Issued in TN

Practice address

1306 Baldridge Dr
Johnson City, TN 37604-2300

Phone

(423) 444-1591

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1922910280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 BALDRIDGE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BALDRIDGE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042300",
            "telephone_number": "423-444-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "LADAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Roark, CRNA
• Ericka Roark
• Kaara Roark, FNP
• Shannon Marie Roark, MS, RDN, CLC
• Stephanie Shadden Roark, RD
• Christopher Robbins
• Margaret Shippen Robbins, M.D.
• Melissa A Robbins, FNP
• Robert E Roth PSYD (Roth Neuropsychology & Behavioral Health Assoc)
• Amy Michelle Roberts, LCSW

• Addiction (Substance Use Disorder) Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.