Individual provider Active NPI

Jonah Thomas Jorgenson

  • Behavior Technician
  • Tacoma, WA
National Provider Identifier
1457167330
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2424 S 41St St Apt 303a
Tacoma, WA 98409-7326
Phone
(904) 558-4032
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2424 S 41St St Apt 303a
Tacoma, WA 98409-7326

Mailing address

2424 S 41St St Apt 303a
Tacoma, WA 98409-7326
Phone (904) 558-4032

Other practice location 1

2424 S 41st St Apt 303A
Tacoma, WA 98409-7326
Phone (904) 584-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1457167330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 S 41ST ST APT 303A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097326",
            "telephone_number": "904-558-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 S 41ST ST APT 303A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097326",
            "telephone_number": "904-558-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 S 41st St Apt 303A",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984097326",
            "country_code": "US",
            "telephone_number": "904-584-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "JONAH",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.