NICHOLE JORDAN (NPI# 1073744066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073744066 |
| Entity Type | Individual |
| Full Name | NICHOLE JORDAN |
| Credential | M. COUN., LCPC, NCC |
| Practice Address |
3350 W Americana Ter Suite #215 Boise ID 83706-2521 |
| Practice Telephone | 2083427030 |
| Practice Fax Number | 2083427030 |
| Mailing Telephone | 2083427030 |
| Mailing Fax Number | 2083427030 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2011-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-4471 | ID | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LCPC-4471 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174013858 | Nichole Lynn Jordan | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2018-05-17 |
| Street Address |
3350 W AMERICANA TER SUITE #215 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053510636 | Marci M Danielson | Marriage & Family Therapist | 3350 W Americana Ter, Suite 215, Boise, ID 83706-2521 | 2007-07-13 |
| 1356992937 | Kathryn Willis Callahan | Dietitian, Registered | 3350 W Americana Ter, Ste 215, Boise, ID 83706-2545 | 2019-09-24 |
| 1902259609 | Freedom Counseling Services of Boise | Community/Behavioral Health | 3350 W Americana Ter, Suite 210b, Boise, ID 83706-2521 | 2016-07-18 |
| 1962883348 | Patricia Blaha | Counselor | 3350 W Americana Ter, Boise, ID 83706-2521 | 2015-06-11 |
| 1861826117 | Suzanne Burton | Counselor | 3350 W Americana Ter, Suite 215, Boise, ID 83706-2521 | 2013-08-22 |
| 1174816680 | Kristine Ann Kirsch | Counselor | 3350 W Americana Ter, Suite #215, Boise, ID 83706-2521 | 2011-05-17 |
| 1194040444 | Karen Kristine Newkirk | Counselor | 3350 W Americana Ter, Suite 300, Boise, ID 83706-2521 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| Find all providers in BOISE | ||||
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| 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.