MERDITH DALE ROACH JR. (NPI# 1851806640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851806640 |
| Entity Type | Individual |
| Full Name | MERDITH DALE ROACH JR. |
| Credential | LPC |
| Practice Address |
12234 Shadow Creek Pkwy Ste 4104 Pearland TX 77584-7333 |
| Mailing Address |
8585 Sienna Springs Blvd Apt 926 Missouri City TX 77459-7205 |
| Practice Telephone | 7134295325 |
| Mailing Telephone | 9795836627 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2017-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
74093 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12234 SHADOW CREEK PKWY STE 4104 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249728 | Faiza Haque | Nurse Practitioner | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2019-11-15 |
| 1538712526 | Devki Patel | Physician Assistant | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2019-07-19 |
| 1770140428 | Kathleen Lanini | Social Worker | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2019-05-28 |
| 1962965277 | Alexis Nicole Tarr | Social Worker | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2019-04-12 |
| 1174084016 | Nausheen F Merchant | Physician Assistant | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2019-03-25 |
| 1033693601 | Olga Awuor Ochieng | Nurse Practitioner | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2018-09-19 |
| 1255813473 | Sophia Theresa Zafar | Physician Assistant | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584-7333 | 2018-09-04 |
| 1790290070 | Yaminiben Bhakta | Physician Assistant | 12234 Shadow Creek Pkwy Ste 4104, Pearland, TX 77584 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352789 | Maranice Strickland | Counselor | 2908 Tower Bridge Ct, Pearland, TX 77581-4530 | 2020-06-30 |
| 1952923997 | Maria Quadri | Counselor | 2716 Maple Ln, Pearland, TX 77584-1074 | 2020-05-13 |
| 1376181032 | Georgia Lovell | Counselor | 2205 Briarstone Bluff Xing, Pearland, TX 77089-1709 | 2019-12-12 |
| 1871134262 | Rafiah Malene Dixon | Counselor | 13025 Castlewind Ln, Pearland, TX 77584-6793 | 2019-10-07 |
| 1588130397 | A Better Family Now | Counselor | 12234 Shadow Creek Pkwy Ste 1104, Pearland, TX 77584-7330 | 2018-10-18 |
| 1548746118 | Natalie Sharron Jackson | Counselor | 3409 Leafstone Ln, Pearland, TX 77584-6415 | 2018-07-17 |
| 1891288999 | Kossiwa Edith Amegavi Johnson | Counselor | 2001 Tall Timbers Ln, Pearland, TX 77581-6543 | 2018-06-13 |
| 1740797026 | Rhonda Ranelle West | Counselor | 9639 Scarsdale Blvd, Pearland, TX 77581-1416 | 2018-01-08 |
| 1477099463 | Chrismathe Lindsay | Counselor | 2217 North Park Avenue, Pearland, TX 77581 | 2017-01-13 |
| 1568885143 | Esther Avworo | Counselor | 606 N Elder Grove Dr, Pearland, TX 77584-7790 | 2014-02-02 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.