Active NPI
Janella Roach, CSUDC
- Addiction (Substance Use Disorder) Counselor
- Orem, UT
National Provider Identifier
1952082406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11569647-6005
- Practice address
- 1472 E 820 N
Orem, UT 84097-5481 - Phone
- (801) 226-1227
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11569647-6005 | UT | Primary |
Addresses
Primary practice location
1472 E 820 N
Orem, UT 84097-5481
Mailing address
3268 E 1350 S
Spanish Fork, UT 84660-3133
Phone (801) 900-1291
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11569647-6005 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1952082406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3268 E 1350 S",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846603133",
"telephone_number": "801-900-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1472 E 820 N",
"city": "OREM",
"state": "UT",
"postal_code": "840975481",
"telephone_number": "801-226-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "JANELLA",
"credential": "CSUDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "11569647-6005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.