Individual provider Active NPI

Jordan Stone

  • Mental Health Counselor
  • Oro Valley, AZ
National Provider Identifier
1013618008
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-18445 Issued in AZ
Practice address
450 W Cool Dr Apt 342
Oro Valley, AZ 85704-6465
Phone
(256) 509-6258
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-18445 AZ Primary

Addresses

Primary practice location

450 W Cool Dr Apt 342
Oro Valley, AZ 85704-6465

Mailing address

12112 N Rancho Vistoso Blvd Ste 150
Oro Valley, AZ 85755-1841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-18445AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
We Breathe Recovery, LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

12112 N Rancho Vistoso Blvd
Ste 150
Oro Valley, AZ 85755
Phone (910) 727-5066

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1013618008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 N RANCHO VISTOSO BLVD STE 150",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W COOL DR APT 342",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857046465",
            "telephone_number": "256-509-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-18445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.