JORDIE VANDER WAL (NPI# 1366891319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366891319 |
| Entity Type | Individual |
| Full Name | JORDIE VANDER WAL |
| Practice Address |
493 Century Ln Holland MI 49423-4286 |
| Mailing Address |
483 Century Ln Holland MI 49423-4286 |
| Practice Telephone | 6163965284 |
| Mailing Telephone | 6163965284 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801098691 | MI | Behavioral Health & Social Service Providers |
| Street Address |
493 CENTURY LN |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467505719 | Lynn Edgington | Social Worker | 493 Century Ln, Holland, MI 49423-4286 | 2007-01-19 |
| 1922323807 | New Hope Counseling Services, LLC | Clinic/Center | 493 Century Ln, Holland, MI 49423-4286 | 2010-04-02 |
| 1669658621 | Bettye Jo Bell | Psychologist | 493 Century Ln, Holland, MI 49423-4286 | 2008-01-21 |
| 1922297407 | Sarah Edgington | Social Worker | 493 Century Ln, Holland, MI 49423-4286 | 2007-10-19 |
| 1750576773 | Scott Andrew Courey | Social Worker | 493 Century Ln, Holland, MI 49423-4286 | 2007-09-12 |
| 1831309665 | Lennis James Baggech | Psychologist | 493 Century Ln, Holland, MI 49423-4286 | 2007-05-23 |
| 1215054952 | Steven T Johnson | Clinical Neuropsychologist | 493 Century Ln, Holland, MI 49423-4286 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1841780921 | Timothy Patrick Murphy | Counselor | 6202 Trust Dr, Holland, OH 43528-8425 | 2018-05-15 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1154849511 | Teresa Nickole Dennis | Counselor | 6648 South Ave, Holland, OH 43528 | 2017-09-06 |
| 1821516659 | Todd Bieber | Counselor | 6202 Trust Drive, Holland, OH 43528 | 2017-08-31 |
| 1992238141 | Jamie Robinson-perrin | Counselor | 350 S. Irwin Rd., Holland, OH 43528 | 2017-04-05 |
| 1699214171 | Kim Brown | Counselor | 7015 Spring Meadows West Drive, Suite 102, Holland, OH 43528 | 2017-02-17 |
| 1932569407 | William Rietveld | Counselor | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-02-26 |
| 1013376326 | Sonia Rae Horwitz | Counselor | 82 Buck Rd Ste 2, Holland, PA 18966-1751 | 2016-02-15 |
| Find all providers in HOLLAND | ||||
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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.