JORDAN WAYNE SCHAEFER


Address: 502 S Morris Ave, Bloomington, IL 61701-4884
Phone: 8159165451

JORDAN WAYNE SCHAEFER (NPI# 1467070037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467070037
Entity Type Individual
Full Name JORDAN WAYNE SCHAEFER
Credential MSW
Practice Address 502 S Morris Ave
Bloomington
IL 61701-4884
Mailing Address 303 W Lincoln St
Bloomington
IL 61701-6642
Practice Telephone 8159165451
Enumeration Date 2020-07-10
Last Update Date 2020-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers JORDAN SCHAEFER

NPI Name Taxonomy Address Enumeration
1043574098 Jordan Kendall Schaefer Internal Medicine 1500 East Medical Center Dr, B1 Floor Cancer Recp 'b', Ann Arbor, MI 48109-5911 2012-06-25

Office Location

Street Address 502 S MORRIS AVE
City BLOOMINGTON
State IL
Zip Code 61701-4884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285693630 Catholic Charities of The Diocese of Peoria Clinic/Center 502 S Morris Ave, Bloomington, IL 61701-4884 2006-03-22
1447869680 Jennifer Lauren Woodrum Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2020-07-23
1154930394 Lucas Sawisch Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2020-07-23
1568973279 Jessica Wolf Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2017-10-20
1992230809 Mychele Kenney Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2017-04-28
1255885570 Ashley Langley Nurse Practitioner 502 S Morris Ave, Suite D, Bloomington, IL 61701-4884 2016-08-04
1144593088 The Center for Youth and Family Solutions, Inc Community/Behavioral Health 502 S Morris Ave, Bloomington, IL 61701 2012-02-22
1669752960 Immanuel Health Center Clinic/Center 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 2011-08-18
1861723470 Pamala Ann Farnham Social Worker 502 S Morris Ave, Bloomington, IL 61701-4884 2010-01-21
1366579906 Stephanie Ann Barisch Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2007-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023630357 Janice Bush Counselor 909 W Olive St, Bloomington, IL 61701-4962 2020-05-08
1457986556 Jon Brookson Engfer Counselor 8609 Lyndale Avenue South, Bloomington, MN 55420 2020-03-09
1346883501 Christine Lee Garwick-foley Counselor 10032 Quebec Ave S, Bloomington, MN 55438-2126 2019-10-21
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1477990059 Megan S Nickless Counselor 205 N College Ave Ste 613, Bloomington, IN 47404-3956 2013-05-23
1427329143 Jared Brent Bostrom Counselor 1100 E 80th St, Bloomington, MN 55420-1426 2012-01-26
1437438181 Walter Lawrence Campbell Counselor 600 N. Jordan Ave, Bloomington, IN 47405 2011-08-12
1720376221 Jamie Laurson Counselor 702 W. Chestnut Street, Bloomington, IL 61701 2011-07-18
1396054037 Carrie Ann Lawrence Counselor 6666 S Old State Road 37, Bloomington, IN 47401-8912 2010-09-29
1558691998 Robarn Danzman Counselor 221 E Kirkwood Ave, Suite 5, Bloomington, IN 47408-3559 2010-01-07
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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