Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Roach, PC-IT, SW

Individual provider Professional Counselor · NPI 1083968200

Anthony Roach, PC-IT, SW is a Professional Counselor in Brown Deer, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1281-226 (WI)
Social Worker Taxonomy 104100000X · Licence 7196-120 (WI)

Record details

NPI number1083968200
Entity typeIndividual (Type 1)
GenderMale
Credentials PC-IT , SW
Sole proprietorYes
NPI enumeratedNovember 9, 2012
Last updated in NPPESNovember 9, 2012
Mailing address3900 W Brown Deer Rd, Ste 200, Brown Deer, WI 53209-1220

Other providers in Brown Deer