Jordan Lyman Dye, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117725763501 Issued in UT

Practice address

1893 E Skyline Dr Ste 110D
South Ogden, UT 84403-5218

Phone

(801) 901-3692

Fax

(855) 636-8306

NPI assigned

Jul 9, 2012

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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 UT

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

Locations

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  UT

  Medicare reassignment NPD
• Prepared Acceptance

  • Clinical Social Worker
  • South Ogden, UT
  • NPI 1609576255
  NPD Authorized official
• Wasatch Behavioral Health Special Service District

  • Community/Behavioral Health Agency
  • Provo, UT
  • NPI 1356357115
  NPD (past)
• Wasatch Behavioral Health Special Service District

  • Clinical Medical Laboratory
  • Orem, UT
  • NPI 1669257556
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1619232386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHERRY DR",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844055532",
            "telephone_number": "801-901-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 E SKYLINE DR STE 110D",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035218",
            "telephone_number": "801-901-3692",
            "fax_number": "855-636-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "JORDAN",
        "middle_name": "LYMAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "117725763501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Diamond
• Katelyn Dixon, BCBA
• Sarah Dixon
• Rainee Dorer, RBT
• McKenna Marie Douglas
• Dynamic Health Therapy
• Blake Kelly Earl
• Ian Sequoia Earle, DC
• Joanna Earle
• Earline Marchello

• Clinical Social Worker in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.