Individual provider Active NPI

Heather Jordan

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1154747707
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF77604 Issued in CA
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

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
IMF77604CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather M Jordan Marriage and Family Counseling Inc Marriage & Family Therapist CurrentSince Nov 24, 2024 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.

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

Verify at the official NPI Registry.