Organization Active NPI

Jordan Hofmann, LLC

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1265987069
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4663 Issued in NE
Legal business name
JORDAN HOFMANN, LLC
Practice address
1300 S Locust St Ste F
Grand Island, NE 68801-8200
Phone
(308) 398-0350
Fax
(308) 398-0351
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Jordan M Hofmann, MA, LMHP
Title
Owner
Phone
(402) 460-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4663 NE Primary

Addresses

Primary practice location

1300 S Locust St Ste F
Grand Island, NE 68801-8200

Mailing address

1300 S Locust St Ste F
Grand Island, NE 68801-8200
Phone (308) 398-0350

National Provider Directory

National Provider Directory

Locations

1300 S Locust St
Ste F
Grand Island, NE 68801
Phone (308) 398-0350

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1265987069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S LOCUST ST STE F",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018200",
            "telephone_number": "308-398-0350",
            "fax_number": "308-398-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LOCUST ST STE F",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018200",
            "telephone_number": "308-398-0350",
            "fax_number": "308-398-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOFMANN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFMANN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-460-0600",
        "authorized_official_credential": "MA, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.