Jacob Andrew Abraham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P105172 Issued in NY

Practice address

387 Franklin St
Buffalo, NY 14202-1507

Phone

(716) 462-0284

Fax

(716) 262-0481

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1003589433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CUMBERLAND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201310",
            "telephone_number": "716-931-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021507",
            "telephone_number": "716-462-0284",
            "fax_number": "716-262-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P105172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Abou Azar, M.D.
• Elias Abdallah Abou-Jaoude, MD
• Mohei E Abouzied, MD
• Stephanie Abplanalp
• Alexandra Kathryn Abraham, RD CDN
• Lindsay L Abraham
• Michelle Abraham, LCSW
• Yolanda Abraham
• Heather Abramo, PT
• Nicholas Angelo Abramo, DC

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.