Active NPI
Heather Jordan
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1154747707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF77604
- Practice address
- 3657 Ricardo Ave
Redding, CA 96002-2627 - Phone
- (530) 242-9007
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF77604 | CA | Primary |
Addresses
Primary practice location
3657 Ricardo Ave
Redding, CA 96002-2627
Mailing address
3657 Ricardo Ave
Redding, CA 96002-2627
Phone (530) 242-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF77604 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather M Jordan Marriage and Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Family Dynamics Resource Center | Past | Accepting new patients |
Locations
1452 Oregon St
Ste 101
Redding, CA 96001
Phone (530) 604-2450
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Redding, CA
- NPI 1720803158
-
- Community/Behavioral Health Agency
- Redding, CA
- NPI 1619272564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1154747707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3657 RICARDO AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960022627",
"telephone_number": "530-242-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3657 RICARDO AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960022627",
"telephone_number": "530-242-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF77604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.