DIANE EVELYN JORDAN (NPI# 1538584115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538584115 |
| Entity Type | Individual |
| Full Name | DIANE EVELYN JORDAN |
| Credential | LCPC, NCC, LAC |
| Practice Address |
3255 Lt Moss Rd Missoula MT 59804-7220 |
| Mailing Address |
1325 Wyoming St Missoula MT 59801-1725 |
| Practice Telephone | 4065329800 |
| Mailing Telephone | 4065329800 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2016-11-01 |
| 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) |
3323 | MT | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7932 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093267528 | Diane Maxine Jordan | Counselor | 2704 Oakcrest Pl, Charlotte, NC 28209-1127 | 2016-11-01 |
| 1245691831 | Diane Kathryn Jordan | Counselor | 156 Neptune Ave, Jersey City, NJ 07305-2508 | 2016-03-10 |
| 1972793347 | Diane Marie Jordan | Chiropractor | 1848 S Elena Ave, Suite D, Redondo Beach, CA 90277-5710 | 2007-07-31 |
| 1538634696 | Diane Jordan | Occupational Therapist | 99 Main St, Delhi, NY 13753-1221 | 2018-10-04 |
| 1982194403 | Diane Marie Jordan | Hearing Instrument Specialist | 11905 E Colonial Dr, Orlando, FL 32826-4725 | 2018-05-10 |
| 1356851778 | Diane Dela Cruz Jordan | Licensed Practical Nurse | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2017-10-11 |
| 1699162602 | Diane Jordan | Speech-Language Pathologist | 1955 Pauline Blvd, Ste 100c, Ann Arbor, MI 48103-5003 | 2015-04-17 |
| 1730420555 | Diane I Jordan | Licensed Practical Nurse | 500 Albany Ave, Hartford, CT 06120-2508 | 2013-03-04 |
| 1487989018 | Diane Jordan | Social Worker | 57 E Fulton St, Gloversville, NY 12078-3212 | 2009-10-15 |
| 1235359274 | Diane Julie Jordan | Developmental Therapist | 103 Johnson St, Lynn, MA 01902-4001 | 2007-05-01 |
| Street Address |
3255 LT MOSS RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912329764 | Dylan Rincker | Social Worker | 3255 Lt Moss Rd, Missoula, MT 59804-7220 | 2014-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501190 | Sabina Sabyrkulova | Counselor | 313 Sw Higgins Ave, Missoula, MT 59803-1405 | 2020-09-03 |
| 1437712247 | Abrei Cloud Lcsw LLC | Counselor | 111 N Higgins Ave Ste 200-5, Missoula, MT 59802-4437 | 2019-04-17 |
| 1053876912 | Maegan Rides At The Door | Counselor | 4744 Sonoma St, Missoula, MT 59808-9671 | 2019-02-05 |
| 1336649011 | Molly Murphy Counseling | Counselor | 1515 Fairview Ave Ste 240, Missoula, MT 59801-7821 | 2018-02-19 |
| 1508366881 | Kimberly Kay Parrow | Counselor | 401 S 1st St W, Missoula, MT 59801-1850 | 2018-02-13 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1356888069 | Julienne Reid Stickney | Counselor | 410 Expressway Ste C, Missoula, MT 59808-1537 | 2017-01-20 |
| 1558805002 | Dara Kim Newman | Counselor | 510 Arbor Dr, Missoula, MT 59802-3126 | 2016-12-16 |
| 1457806598 | Stephanie Nold | Counselor | 501 Sw Higgins Ave Apt C, Missoula, MT 59803-1451 | 2016-08-18 |
| 1881042190 | Molly Murphy | Counselor | 405 S 1st St W, Missoula, MT 59801-1850 | 2016-05-26 |
| Find all providers in MISSOULA | ||||
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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.