Katherine Russavage Abbott-Rose

Individual provider Active NPI Mental Health Counselor · Londonderry, NH

NPI 1457164352 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1457164352
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1A Commons Dr Unit 5
Londonderry, NH 03053-3448
Phone
(603) 255-3877
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Counseling Services LLC Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1A Commons Dr Unit 5
Londonderry, NH 03053-3448

Mailing address

1A Commons Dr Unit 5
Londonderry, NH 03053-3448
Phone (603) 255-3877

Other providers in Londonderry, NH

All providers in Londonderry, NH · Mental Health Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.