Katherine Jordan, MD, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135603 Issued in VT

Practice address

79 Court St
Middlebury, VT 05753-1406

Phone

(802) 989-1556

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1366217127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RIDGE DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534534",
            "telephone_number": "802-989-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 COURT ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531406",
            "telephone_number": "802-989-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KATHERINE",
        "credential": "MD, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Jimerson, M.D.
• Benjamin Daniel Johnson, D.O.
• Carol Schilthuis Johnson, LICSW
• Kristine Joppe-Mercure, PT, DPT
• Augustus E. Jordan, PH.D.
• Brian Joslin, PA-C
• Julia Steen, Ma, PLC
• Michelle Kaczynski
• Doreen Straw Kadric, M.S., CCC-SLP
• Emily Kallock

• Mental Health Counselor in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.