Betti Jean Jordan, RC00035276

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00035276 Issued in WA

Practice address

5801 23Rd Dr W Ste 104
Everett, WA 98203-1587

Phone

(425) 513-8213

Fax

(425) 513-5034

NPI assigned

Sep 2, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1851493738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NW COLUMBIA DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774416",
            "telephone_number": "360-675-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 23RD DR W STE 104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031587",
            "telephone_number": "425-513-8213",
            "fax_number": "425-513-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BETTI",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RC00035276",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00035276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Jones III, MD
• Thomas W Jones Jr., M.D.
• Tia Jones, LMP
• Timothy Jones, PA-C
• SE Jin Joo, DDS
• Betty Jordan, CERTIFIED NURSING AS
• Candace Lee Jordan, LMP
• Elnora Jo Jordan, M.S.
• James William Jordan, M.D.
• John D Jordan, MD

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.