MR. JORDAN SHAW (NPI# 1427665231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427665231 |
| Entity Type | Individual |
| Full Name | MR. JORDAN SHAW |
| Credential | LCPC-CC |
| Practice Address |
93 Silver St Bldg 6 Waterville ME 04901-5923 |
| Practice Telephone | 2078779435 |
| Mailing Telephone | 2078779435 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
XL5745 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187274 | Jordan Anthony Shaw | Registered Nurse | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2018-09-12 |
| 1255846986 | Jordan D Shaw | Chiropractor | 333 Sw 5th St Ste B, Grants Pass, OR 97526-2509 | 2017-12-04 |
| 1164872263 | Jordan Shaw | Nurse Practitioner | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2016-06-20 |
| 1710373139 | Jordan T Shaw | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2015-04-13 |
| Street Address |
93 SILVER ST BLDG 6 |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982160156 | Healing Roots Behavioral Health Center, LLC | Counselor | 325c Kennedy Memorial Dr Ste 2, Waterville, ME 04901-4517 | 2019-02-13 |
| 1326455700 | Melanie Roger | Counselor | 88 Main St Ste 100, Waterville, ME 04901-6665 | 2014-07-17 |
| 1386813921 | Ann M Morgan | Counselor | 87 Kennedy Memorial Dr, Waterville, ME 04901-5128 | 2008-02-28 |
| 1265433486 | Care & Comfort | Counselor | 180 Main St, Waterville, ME 04901-6666 | 2005-08-10 |
| 1730727892 | Alyssa Danielle Langley | Counselor | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2019-12-19 |
| 1518509785 | Alicia Lemar | Counselor | 93 Silver St, Waterville, ME 04901-5923 | 2019-10-09 |
| 1568957900 | Earlyn Kelley Bowers | Counselor | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2018-06-28 |
| 1477920775 | Kerish Benttinen Lcsw, LLC | Counselor | 179 Main St, Suite 401, Waterville, ME 04901-6672 | 2015-08-22 |
| 1578950259 | Stephanie L. Welling | Counselor | 32 College Ave, Suite 206, Waterville, ME 04901-6100 | 2015-04-21 |
| 1255753166 | Tara Reagan | Counselor | 149 North St, Waterville, ME 04901-4974 | 2014-01-11 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on MR. JORDAN SHAW.
| 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.