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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
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 |
Street Address |
502 S MORRIS AVE |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701-4884 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 61701 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
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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.