Jordan Wakefield, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JORDAN WAKEFIELD, PLLC

Practice address

3434 W 29TH Ave
Denver, CO 80211-3612

Phone

(720) 773-2026

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Jordan Wakefield, LCPC, LPCNPI 1841773165

Title

Owner

Phone

(720) 773-2026

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Wakefield, M.ED., LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1841773165
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1811610983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802120650",
            "fax_number": "312-277-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113612",
            "telephone_number": "720-773-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN WAKEFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-773-2026",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "180.012130",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@jordanwakefieldpllc.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3434 W 29th Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802113612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leila Jonsson, SWC
• Mary Margaret Jonsson, PHD
• Brian C Joondeph, MD
• McKenna Joosten
• Jenni Jordan Abel, RN
• Barbara Jordan, PT
• Camden Brooks Jordan, B.A
• Christina Marie Jordan, APN
• Colleen Gwendolyn Jordan, MD
• Gabriela Meriel Jordan, MS, OTR/L

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.