Jordan Marie Senger

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

208 Hastings LN
Elizabeth City, NC 27909-3324

Phone

(757) 777-2186

Fax

(833) 901-0451

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

• Coastal Bridge Health, LLC

  • Behavior Analyst
  • Moyock, NC
  • NPI 1548123748
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2022.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1790409357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "757-777-2186",
            "fax_number": "833-901-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "757-777-2186",
            "fax_number": "833-901-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGER",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Williams Scribner, PHARMD
• Seeking Out Serendipity Counseling Services
• Select Physical Therapy
• Select Physical Therapy Holdings Inc
• Amber Bane Seneres, LPC
• Sentara Advanced Imaging Solutions, LLC
• Sentara Albemarle Regional Medical Center
• Sentara Albemarle Regional Medical Center
• Sentara Enterprises
• Sentara Medical Group

• All providers in Elizabeth City, NC
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.