Jordan Gunter Stephens, CRM, CADC-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

116 SE D St
Madras, OR 97741-1699

Phone

(541) 475-6575

Fax

(541) 475-6196

NPI assigned

Jun 19, 2026

Last updated

Jul 24, 2026By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1750217584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SE D ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411699",
            "telephone_number": "541-475-6575",
            "fax_number": "541-475-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SE D ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411699",
            "telephone_number": "541-475-6575",
            "fax_number": "541-475-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JORDAN",
        "middle_name": "GUNTER",
        "credential": "CRM, CADC-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "26-CRM-5676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730244294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Charles Health System, Inc.
• St. Charles Health System, Inc. (St. Charles - Madras)
• St. Charles Health System, Inc. (St. Charles Madras - Hospice)
• St. Charles Health System, Inc. (St. Charles Home Health)
• St. Charles Health System, Inc. (St. Charles - Madras)
• Nicolette Linea Stevanovski, PA-C
• Richard Synowski II
• Jessica Brooke Tegen, OD
• Jordy Alexander Tellez
• Shilo Renae Tippett, PH.D.

• Addiction (Substance Use Disorder) Counselor in Madras, OR
• Providers in Madras, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.