NPIMap

Organization Active NPI

Jordan Willer

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1598217705
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4547 Issued in NE
Legal business name
JORDAN WILLER
Practice address
1306 N 13TH St
Ste 100
Norfolk, NE 68701-2591
Phone
(402) 360-0055
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Jordan Willer, LMHPNPI 1013343706
Title
Counselor
Phone
(402) 360-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4547 NE Primary

Addresses

Primary practice location

1306 N 13TH St
Ste 100
Norfolk, NE 68701-2591

Mailing address

1306 N 13TH St
Ste 100
Norfolk, NE 68701-2591
Phone (402) 360-0055

Other identifiers 1

IdentifierTypeStateIssuer
1013343706OtherNENPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1598217705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N 13TH ST",
            "address_2": "STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012591",
            "telephone_number": "402-360-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N 13TH ST",
            "address_2": "STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012591",
            "telephone_number": "402-360-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN WILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "402-360-0055",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013343706",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.