Jordan Looze, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-5280 Issued in ID

Practice address

4948 W Kootenai St
Suite 207
Boise, ID 83705-2080

Phone

(208) 371-4548

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Sex

Male

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

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stacey Titus PLLC

  dba Clearwater Counseling Services

  • Clinical Social Worker
  • Boise, ID
  • NPI 1417577412
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1366874224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 W KOOTENAI ST",
            "address_2": "SUITE 207",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052080",
            "telephone_number": "208-371-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 W KOOTENAI ST",
            "address_2": "SUITE 207",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052080",
            "telephone_number": "208-371-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOZE",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Longoria, FNP-C
• Jennifer Longwell, OTR/L
• William Dennis Loome, MD
• Jerri A Looney, RRT
• Warren Hunter Looney, MD
• Michael Lopera
• Angelica Lopez
• Erica Ann Lopez, LMSW
• Heather Pauline Lopez, DPT
• J. Antonio G Lopez, M.D.

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.