Kami Roach, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC-9010 Issued in ID

Practice address

762 Falls Ave
Twin Falls, ID 83301-3316

Phone

(208) 258-7681

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kami Elorrieta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

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 and National Provider Directory roles.

• Aspen Grove Family Therapy, Inc

  • Marriage & Family Therapist
  • Twin Falls, ID
  • NPI 1366905416
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1962029298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013316",
            "telephone_number": "208-258-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013316",
            "telephone_number": "208-258-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KAMI",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-9010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMI",
            "last_name": "ELORRIETA",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• River View Eye Specialists PLLC
• River View Surgery Center, LLC
• River Wellness Center PLLC
• RJ Homecare Solutions LLC
• RMJ Safari ,P.L.L.C.
• Caleb E Roberts, D.P.M.
• James Morris Roberts
• John Charles Roberts, D.D.S.
• Lora K Roberts, N.P.
• Mallory Roberts

• Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.