JORDAN BEARD (NPI# 1073175212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073175212 |
| Entity Type | Individual |
| Full Name | JORDAN BEARD |
| Practice Address |
3449 E Rezanof Dr Kodiak AK 99615-6952 |
| Practice Telephone | 9079420672 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3449 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104940 | Heidi Coryell Lowrey Baines | Family Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-05-23 |
| 1740881069 | Hannah Gordon | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1174124473 | Sarah Marie Davidson | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1366041915 | Janna Lacroix | Case Manager/Care Coordinator | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-10-23 |
| 1679100515 | Melissa Marie Anderson | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-03-23 |
| 1073158093 | Michael Hanrahan | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1144865130 | Hope Lee Livingston Rustemeyer | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1326680760 | Susana Dorian Bennett-melendez | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-16 |
| 1134761364 | Paige Buer | Physician Assistant | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-09 |
| 1356902555 | Fawn Chya | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950350 | Stephen Jay Foreman | Counselor | 1944 E Rezanof Dr, Kodiak, AK 99615-6601 | 2020-04-08 |
| 1073158093 | Michael Hanrahan | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1326680760 | Susana Dorian Bennett-melendez | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-16 |
| 1356902555 | Fawn Chya | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-06-27 |
| 1255826087 | Doreen Kayla Phillips | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2018-06-25 |
| 1700370202 | Brent Lawrence Guard | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2018-06-18 |
| 1164713152 | Julie Kaiser | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2011-04-25 |
| 1063634491 | Michael Handricks | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345104 | Patricia Jean Pretorius | Counselor | 102 Elderberry Street, Old Harbor, AK 99643 | 2020-10-30 |
| 1265039606 | Joshua Lund | Counselor | 112 Federal Way # 1667, Wrangell, AK 99929-9800 | 2020-10-08 |
| 1013529247 | Faith Marie Peters | Counselor | Solar Circle #2, Tanana, AK 99777 | 2020-08-19 |
| 1790395218 | Julia Rodriguez | Counselor | 1410 Calista Drve, Bethel, AK 99559-0528 | 2020-08-10 |
| 1003426776 | Cynthia Rose Agnes | Counselor | 41 Sis St, Nulato, AK 99765-0056 | 2020-08-06 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1700409471 | Evangeline Tofa Lemaota | Counselor | 4960 Est. 43rd, B3, Anchorage, AK 99508-9950 | 2020-05-28 |
| 1316574015 | Hilary Young | Counselor | 11909 Glacier Hwy Apt 305, Juneau, AK 99801-8790 | 2020-03-24 |
| 1801446042 | Letia Sophia Stermer | Counselor | 16 A Street, Ekwok, AK 99580 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORDAN BEARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.