Provider Demographics
NPI:1376512079
Name:ROARABAUGH, JANET L (MED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:ROARABAUGH
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-1351
Mailing Address - Country:US
Mailing Address - Phone:814-241-0471
Mailing Address - Fax:814-317-0341
Practice Address - Street 1:601 WILSON AVE
Practice Address - Street 2:
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1351
Practice Address - Country:US
Practice Address - Phone:814-241-0471
Practice Address - Fax:814-317-0341
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 000178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1423594OtherHIGHMARK
PA7032352OtherAETNA
PA1019754560003Medicaid