RICHELLE L JORDAN (NPI# 1720228109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720228109 |
Entity Type | Individual |
Full Name | RICHELLE L JORDAN |
Credential | MA |
Practice Address |
2625 Wheaton Way Bremerton WA 98310-3371 |
Mailing Address |
8510 Bender Cir Ne Bremerton WA 98311-8824 |
Practice Telephone | 3602337236 |
Mailing Telephone | 4252205669 |
Enumeration Date | 2009-02-25 |
Last Update Date | 2020-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RC00050329 | WA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
RC00050329 | WA | Behavioral Health & Social Service Providers |
Street Address |
2625 WHEATON WAY |
City | BREMERTON |
State | WA |
Zip Code | 98310-3371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497729 | Wallace C Volz | Dentist | 2625 Wheaton Way, Ste D, Bremerton, WA 98310-3372 | 2005-06-16 |
1851910368 | Jacob Zocco | Peer Specialist | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2020-04-14 |
1821567231 | Kathryn Ann Goins | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-11-14 |
1821563644 | Benjamin Cole Harriott | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-10-08 |
1326522897 | Susan Denise Horton | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-09-20 |
1013400688 | Amanda Lee Johnson | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-06-08 |
1760919443 | Abigail Smith | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2017-05-12 |
1427580646 | Catholic Community Services of Western Washington | Clinic/Center | 2625 Wheaton Way, Suite B, Bremerton, WA 98310-3371 | 2017-03-28 |
1588056121 | Cassandra Michele Elowski | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2015-02-18 |
1578619409 | Renee G Miller | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2007-01-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
Find all providers in zip 98310 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
1285193946 | Ellen Epstein | Counselor | 1933 4th St, Bremerton, WA 98337-1003 | 2019-03-13 |
1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
1588110399 | Melissa Stringer | Counselor | 440 Nw Solnae Pl, Bremerton, WA 98311-9148 | 2016-08-31 |
1346696267 | Rachel Dell | Counselor | 851 6th St Ste 155, Bremerton, WA 98337-1478 | 2016-05-10 |
1831551597 | Keiko Sano | Counselor | 843 6th St Ste 220, Bremerton, WA 98337-1439 | 2016-03-22 |
1174927024 | Green Roots Counseling | Counselor | 423 Pacific Ave, Bremerton, WA 98337-1914 | 2014-10-21 |
1871993295 | Lane Thomas Ormerod | Counselor | 922 Callahan Dr, Bremerton, WA 98310-4217 | 2014-09-04 |
1922374743 | Angela Norma Lujan | Counselor | 5760 School St Ne, Bremerton, WA 98311-9667 | 2012-03-26 |
1033400346 | Jill Dianne Bishop | Counselor | 1325 Lower Marine Dr, Bremerton, WA 98312-2437 | 2011-04-21 |
Find all providers in BREMERTON |
Please comment or provide details below to improve the information on RICHELLE L JORDAN.
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.