Daniel Patrick Jordan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11088 Issued in WI

Practice address

900 Crest View Dr Ste 120
Hudson, WI 54016-9517

Phone

(651) 292-2434

NPI assigned

Nov 7, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hazelden Betty Ford Foundation

  dba Hazelden Hudson

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hudson, WI
  • NPI 1972363240
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1083437966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CREST VIEW DR STE 120",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CREST VIEW DR STE 120",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169517",
            "telephone_number": "651-292-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4635",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Johnson, C.N.M
• Steven L Johnson, DO
• Tanner Oskar Johnson, DPT
• Travis Johnson, D.C.
• Laura Lee Johnston
• Jennifer Lee Jorgensen, DDS
• Kristina Janine Joswiak
• Kristy Jo Kahl, M.S.
• Andrea Kane, SLP
• Trudy Kay Kapaun, REGISTERED DIETICIAN

• Mental Health Counselor in Hudson, WI
• Providers in Hudson, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.