MISS JORDAN SAMUELSON (NPI# 1285986711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285986711 |
| Entity Type | Individual |
| Full Name | MISS JORDAN SAMUELSON |
| Credential | BA |
| Practice Address |
4100 Wolcott Ave Des Moines IA 50321-1872 |
| Practice Telephone | 5159714497 |
| Mailing Telephone | 5159714497 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 911AA9974 | IA | Behavioral Health & Social Service Providers |
| Street Address |
4100 WOLCOTT AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50321-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518478916 | Anna Marie Bergida | Counselor | 5875 Fleur Dr, Des Moines, IA 50321 | 2017-10-12 |
| 1780842864 | Allison Christine Carlson | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2008-05-27 |
| 1588961668 | Carlson Chiropractic Pllc | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2011-02-25 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| 1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1235461286 | Thomas Patrick Reynolds | Counselor | 3615 Thornton Ave, Des Moines, IA 50321-1845 | 2010-02-02 |
| 1023210671 | Marwin E. Goff | Dentist | 3906 Wolcott Ave, Des Moines, IA 50321-1868 | 2007-06-05 |
| 1134426331 | Harbor View Medical | Physical Medicine & Rehabilitation | 6151 Thornton Ave., Suite 200, Des Moines, IA 50321-1900 | 2011-02-24 |
| 1639425184 | Elizabeth R Proctor | Speech-Language Pathologist | 3001 Thornton Ave, Des Moines, IA 50321-2020 | 2012-08-01 |
| Find all providers in zip 50321 | ||||
| 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 |
|---|---|---|---|---|
| 1316508310 | Bratimsah Incorporation | Counselor | 2937 Se 19th St # Ia, Des Moines, IA 50320-1200 | 2019-06-21 |
| 1730417122 | Suzanne Erwin-holmes | Counselor | 1216 Forest Ave, Des Moines, IA 50314-2323 | 2009-11-24 |
| 1841429990 | Joann E Lambert | Counselor | 4900 University Ave Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1538317847 | Frank Junior Nwankpa | Counselor | 5215 Douglas Ave, Des Moines, IA 50310-1867 | 2008-08-29 |
| 1154530772 | Jeremy Ryan Nau | Counselor | 3943 E 28th St, Des Moines, IA 50317-4225 | 2007-05-21 |
| 1760400824 | Amy Berg-theisen | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2006-07-17 |
| 1871592402 | Employee & Family Resources, Inc. | Counselor | 505 5th Avenue, Suite 600, Des Moines, IA 50309-2319 | 2005-07-15 |
| 1477152759 | Kathryn Gresock | Counselor | 26401 Pacific Hwy S, Des Moines, WA 98198-9247 | 2020-10-19 |
| 1326645615 | Haley Luce | Counselor | 26401 Pacific Hwy S, Des Moines, WA 98198-9247 | 2020-10-08 |
| 1508405648 | Elizabeth Neumann | Counselor | 26401 Pacific Hwy S, Des Moines, WA 98198-9247 | 2020-01-06 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50321 |
Please comment or provide details below to improve the information on MISS JORDAN SAMUELSON.
| 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.