Mr Kenneth J Roche, LMHC - Counselor in East Islip, NY

Mr Kenneth J Roche, LMHC is a Counselor - Mental Health based in East Islip, New York. Mr Kenneth J Roche is licensed to practice in New York (license number 004685-1) and his current practice location is 200 Carleton Ave Ste D, East Islip, New York. He can be reached at his office (for appointments etc.) via phone at (631) 579-3503.

NPI number for Mr Kenneth J Roche is 1578862728 and his current mailing address is 74 Beaver Dam Rd, Islip, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578862728.

Contact Information

Mr Kenneth J Roche, LMHC
200 Carleton Ave Ste D,
East Islip, NY 11730-1222
(631) 579-3503
(631) 446-1136

Map and Direction


Healthcare Provider's Profile

Full NameMr Kenneth J Roche
GenderMale
SpecialityCounselor - Mental Health
Location200 Carleton Ave Ste D, East Islip, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578862728
  • Provider Enumeration Date: 03/26/2011
  • Last Update Date: 02/23/2021

Medical Identifiers

Medical identifiers for Mr Kenneth J Roche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578862728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 004685-1 (New York)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. Mr Kenneth J Roche is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth J Roche, LMHC
74 Beaver Dam Rd,
Islip, NY 11751-1935

Ph: (631) 235-4481
Mr Kenneth J Roche, LMHC
200 Carleton Ave Ste D,
East Islip, NY 11730-1222

Ph: (631) 579-3503

Reviews and Comments


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