Active NPI
Jordan Leanne Bergdall
- Mental Health Counselor
- Enid, OK
National Provider Identifier
1801705371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 230 W Maple Ave
Enid, OK 73701-4012 - Phone
- (580) 478-3659
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | Primary |
Addresses
Primary practice location
230 W Maple Ave
Enid, OK 73701-4012
Mailing address
507 S Garfield St
Enid, OK 73703-5512
Phone (580) 478-3659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1801705371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S GARFIELD ST",
"city": "ENID",
"state": "OK",
"postal_code": "737035512",
"telephone_number": "580-478-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W MAPLE AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737014012",
"telephone_number": "580-478-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGDALL",
"first_name": "JORDAN",
"middle_name": "LEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.