JORDAN FAVIA (NPI# 1285088864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285088864 |
| Entity Type | Individual |
| Full Name | JORDAN FAVIA |
| Practice Address |
1400 Energy Park Dr Saint Paul MN 55108-5272 |
| Practice Telephone | 6512526070 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 304003 | 01 |
| Street Address |
1400 ENERGY PARK DR |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992152821 | Evergreen Recovery | Counselor | 1400 Energy Park Dr, Suite 21, Saint Paul, MN 55108-5272 | 2016-05-20 |
| 1679927248 | David Backus | Counselor | 1400 Energy Park Dr, Suite 21, Saint Paul, MN 55108-5272 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| 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 |
|---|---|---|---|---|
| 1497262349 | Jennifer Denise Wollenberg | Counselor | 999 Grand Ave Apt 3, Saint Paul, MN 55105-3083 | 2018-01-01 |
| 1689112278 | Cindy Walsh | Counselor | 54 Bates Ave, Saint Paul, MN 55106-6339 | 2017-02-03 |
| 1659755312 | Immigrant Women and Children Development Center | Counselor | 308 Prince Street, Suite #258, Saint Paul, MN 55101-1476 | 2015-07-13 |
| 1558789768 | Jennifer Lyn Nix | Counselor | 1301 7th St E, Saint Paul, MN 55106-4039 | 2014-04-03 |
| 1528499472 | Rachel Marie Le | Counselor | 8134 Jackson Dr, Saint Paul, MN 55112-6022 | 2013-12-03 |
| 1639400674 | Karen Winston Wright | Counselor | 333 Grand Ave Ste 206, Saint Paul, MN 55102-2583 | 2010-01-14 |
| 1538338918 | Lynx, LLC | Counselor | 700 Transfer Rd, Saint Paul, MN 55114-1420 | 2008-02-29 |
| 1992903991 | Aki K Hughes-polk | Counselor | 1740 Vandyke St., Woodland Hills Church, Saint Paul, MN 55109 | 2007-07-11 |
| 1801497714 | Angela Cierra Caban | Counselor | 762 Transfer Rd, Ste.21, Saint Paul, MN 55114-1489 | 2020-11-06 |
| 1558960211 | Alyssa Nelson | Counselor | 1246 University Ave W, Saint Paul, MN 55104-4125 | 2020-10-22 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on JORDAN FAVIA.
| 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.