Kenneth Roach, LCMHC
NPI 1619189628 · Professional Counselor · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Roach, LCMHC is a Professional Counselor provider in Salt Lake City, UT (NPI 1619189628).
Provider details
- NPI number
- 1619189628
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 4909154-6004 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 451 E 1000 S Ste BPleasant Grove, UT 84062-3735Phone: (801) 792-7028
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2018-10-10
Frequently asked questions
- What is Kenneth Roach's NPI number?
- Kenneth Roach's National Provider Identifier (NPI) is 1619189628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Roach's specialty?
- Kenneth Roach is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kenneth Roach located?
- Kenneth Roach's practice location on file with NPPES is 4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674.
- What is Kenneth Roach's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Roach is (801) 792-7028.
- Does Kenneth Roach accept Medicare?
- Kenneth Roach is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Roach's NPI active?
- Yes — Kenneth Roach's NPI (1619189628) is active in the NPPES registry as of the last update on 2018-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.