Individual provider Active NPI

Jordin Anton Stepan

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1114889979
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24-05-11119 Issued in OR
Practice address
3710 Portland Rd NE Ste 100
Salem, OR 97301-0312
Phone
(971) 703-4623
Fax
(971) 266-5668
NPI assigned
Dec 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-05-11119 OR Primary

Addresses

Primary practice location

3710 Portland Rd NE Ste 100
Salem, OR 97301-0312

Mailing address

1129 Coburg Rd Apt 1
Eugene, OR 97401-5185
Phone (971) 703-4623

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

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1114889979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 COBURG RD APT 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015185",
            "telephone_number": "971-703-4623",
            "fax_number": "971-266-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 PORTLAND RD NE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010312",
            "telephone_number": "971-703-4623",
            "fax_number": "971-266-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPAN",
        "first_name": "JORDIN",
        "middle_name": "ANTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-05-11119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.