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

Johnathan Shane Roach

Individual provider Professional Counselor · NPI 1124755715

Johnathan Shane Roach is a Professional Counselor in Arkadelphia, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas and Texas.

Licensed in
AR, TX
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2607 Caddo St Ste 6
Arkadelphia, AR 71923-5307
Phone: (870) 230-8217
Show map & directions

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

Additional practice locations (1)

  • 321 E 13th St, Murfreesboro, AR 71958-9541 — (870) 285-3699

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2507012 (AR)
Professional Counselor Taxonomy 101YP2500X · Licence 91413 (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1124755715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address10311 W Markham St, Little Rock, AR 72205-2135

Other providers in Arkadelphia