Dr Kenneth David Roach, LCMHC in Salt Lake City, UT - Medicare Mental Health Counselor Provider

Dr Kenneth David Roach, LCMHC is a medicare enrolled "Counselor - Professional" provider in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 4190 S Highland Dr Ste 210, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 792-7028.

Dr Kenneth David Roach is licensed to practice in Utah (license number 4909154-6004) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1619189628.

Contact Information

	Dr Kenneth David Roach, LCMHC
	4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674
	(801) 792-7028
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth David Roach
Gender	Male
Speciality	Mental Health Counselor
Experience	26 Years
Location	4190 S Highland Dr Ste 210, Salt Lake City, Utah
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth David Roach attended and graduated from University Of Utah School Of Medicine in 1999

NPI Data:

NPI Number: 1619189628
Provider Enumeration Date: 05/03/2007
Last Update Date: 10/10/2018

Medicare PECOS Information:

PECOS PAC ID: 1456866953
Enrollment ID: I20250714003804

Medical Identifiers

Medical identifiers for Dr Kenneth David Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619189628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4909154-6004 (Utah)	Secondary
101YP2500X	Counselor - Professional	4909154-6004 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth David Roach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth David Roach, LCMHC 1131 Loch Lomond Way, Salt Lake City, UT 84117-4974 Ph: (801) 281-1078	Dr Kenneth David Roach, LCMHC 4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674 Ph: (801) 792-7028

Reviews and Comments

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Dr Kenneth David Roach, LCMHC - Medicare Counselor in Salt Lake City, UT