Roshin Kaduthanathu Abraham, LPCC, LAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC7974 Issued in CA

Practice address

158 Teralba CT
San Jose, CA 95139

Phone

(714) 757-1177

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Krysalis Therapy, Licensed Professional Clinical Counselor, Inc

  • Professional Counselor
  • Lilburn, GA
  • NPI 1972457638

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1619569423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 TERALBA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95139",
            "telephone_number": "714-757-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 TERALBA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95139",
            "telephone_number": "714-757-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADUTHANATHU ABRAHAM",
        "first_name": "ROSHIN",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR0150315",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC7974",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LPCC7974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Kachhia, PA-C
• Aanand Nimesh Kadakia
• Priya Kadakia
• Jayla Kadmusow
• Kads Care LLC (Seniors Helping Seniors)
• Heather D Kaech
• Frank Takeshi Kagawa, MD
• Eric Moss Kagel, M.D.
• Alexis Kaleionalani Kahanu Leung
• Kelly Ann Kahari, M.D.

• 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 Feb 3, 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.