Brandy Jordan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61213107 Issued in WA

Practice address

17002 Pacific Ave S
Spanaway, WA 98387-8253

Phone

(253) 538-2323

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kassuhn Inc

  dba Alternative Counseling

  • Substance Abuse Rehabilitation Facility
  • Spanaway, WA
  • NPI 1609156298
  NPD (past)
• Kassuhn Inc Dba Alternative Counseling

  • Early Intervention Provider Agency
  • Spanaway, WA
  • NPI 1023562170
  NPD (past)

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1073210290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983870685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17002 PACIFIC AVE S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878253",
            "telephone_number": "253-538-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61213107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Quigley Jr. (Spanaway Chiropractic Clinic)
• Alexis Johnson, ARNP
• Ann Katherine Johnson, M.S., CF-SLP
• Derek Robert Johnson, DPT
• Keeley Marie Johnson, ARNP
• Carolyn S Jorgensen, P.T.
• Heather Diane Julian, R.N.
• Misun Carolyn Jung Ho Kim
• K.Lee, DDS, PLLC. (Spanaway Children's Dentistry)
• Kisakye Kafeero

• Addiction (Substance Use Disorder) Counselor in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.