Jessica Ryan-Graves Rothwell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18119 Issued in CA

Practice address

2087 Limewood Dr
San Jose, CA 95132-1234

Phone

(214) 326-9633

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Ryan Graves Former name

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1467238840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32392",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951522392",
            "telephone_number": "214-326-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 LIMEWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321234",
            "telephone_number": "214-326-9633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 N White Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951271439",
            "country_code": "US",
            "telephone_number": "408-259-0760",
            "fax_number": "408-642-6052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHWELL",
        "first_name": "JESSICA",
        "middle_name": "RYAN-GRAVES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18119",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRAVES",
            "middle_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Lee Roth, REGISTERED NURSE
• Douglas Rene Roth, D.D.S.
• Jacob W. Roth, MD
• Craig Rothbach, M.D.
• Heide Rothweiler, DTCM, L. AC.
• Christopher L Rotondo
• James Rott, BS,PTA,CEP
• Rottjakob Dental Corporation
• Nicole Margaret Rottjakob, D.D.S
• Stephen L Rottjakob, D.D.S.

• Professional Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.