Active NPI
Jamie L Jordan, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61458047
- Practice address
- 19120 SE 34TH St Ste 201
Vancouver, WA 98683-1430 - Phone
- (360) 906-1190
- Fax
- (360) 906-1193
- NPI assigned
- Sep 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60667260 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61458047 | WA | Primary |
Addresses
Primary practice location
19120 SE 34TH St Ste 201
Vancouver, WA 98683-1430
Mailing address
19120 SE 34TH St Ste 201
Vancouver, WA 98683-1430
Phone (360) 991-0647
Other names 1
- Jamie L Gurrad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western Psychological and Counseling Services LLC
Practice addresses (Care Compare)
1700 NW Civic Dr
Suite 310
Gresham, OR 97030-3774
Phone (503) 666-8832
19120 SE 34TH St
Suite 201
Vancouver, WA 98683-1430
Phone (360) 906-1190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60667260 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
1700 NW Civic Dr
Ste 310
Gresham, OR 97030
Phone (503) 666-8832
19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190
Interoperability endpoints
- lifestancehealth.jamiejordan@148835.advancedmd-direct.com
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1194208256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19120 SE 34TH ST STE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831430",
"telephone_number": "360-991-0647",
"fax_number": "360-906-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19120 SE 34TH ST STE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831430",
"telephone_number": "360-906-1190",
"fax_number": "360-906-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JAMIE",
"middle_name": "L",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60667260",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61458047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "GURRAD",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.