JORDAN BONK (NPI# 1932733326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932733326 |
| Entity Type | Individual |
| Full Name | JORDAN BONK |
| Practice Address |
2704 I St Ne Auburn WA 98002-2411 |
| Mailing Address |
325 W Gowe St Kent WA 98032-5892 |
| Practice Telephone | 2538337444 |
| Mailing Telephone | 2538337444 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2704 I ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639183452 | Deborah Marie Kabisch | Nurse Practitioner | 2704 I St Ne, Auburn, WA 98002-2411 | 2006-07-28 |
| 1861008104 | Connor Burgess | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2020-09-22 |
| 1962022905 | Brianna Gunderson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2020-04-20 |
| 1457998304 | Naomi Talty | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-12-10 |
| 1215573985 | Delaney O'brien | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-18 |
| 1285278119 | Anthony Toomer | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-04 |
| 1275177107 | Audra Wilson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-04 |
| 1932741931 | Theresa Torres | Peer Specialist | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-10-10 |
| 1821648429 | Cai Hendrickson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-09-16 |
| 1366092280 | Alice Lee | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| 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 |
|---|---|---|---|---|
| 1013577261 | Sea - Mar Community Health Center | Counselor | 735 12th St Se Fl 1, Auburn, WA 98002-6709 | 2019-06-19 |
| 1942777594 | Jessika Robyn Orange | Counselor | 915 26th St Ne, Auburn, WA 98002-2502 | 2018-10-31 |
| 1780173377 | Tara Miller | Counselor | 190 Hoffman Ave Apt 79, Auburn, CA 95603-4231 | 2018-05-09 |
| 1770071045 | Samantha Leaman Mclean | Counselor | 1610 56th Ct Se, Auburn, WA 98092-8704 | 2018-04-23 |
| 1528586823 | Natalie A Holak | Counselor | 5865 S Gate Dr, Auburn, NY 13021-5335 | 2017-09-07 |
| 1487198172 | Deborah Forrest | Counselor | 111 5th St Ne, Auburn, WA 98002-4012 | 2016-12-14 |
| 1053855197 | Sloane Fitzgerald | Counselor | 1547 Reynolds Dr, Auburn, AL 36830-1932 | 2016-12-08 |
| 1508313826 | Janet Eileen Wells | Counselor | 2106 Stonebrook Ct, Auburn, CA 95603-9057 | 2016-09-02 |
| 1609276625 | Jayne Lavallee | Counselor | 6 Rochelle St, Auburn, MA 01501-1222 | 2014-08-27 |
| 1801210653 | Sarah Himes | Counselor | 2438 Auburn Way N, Sfs South, Auburn, WA 98002 | 2014-02-14 |
| Find all providers in AUBURN | ||||
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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.