Jordan Brown, LPC
Individual provider Active NPI Professional Counselor · Wauwatosa, WI
NPI 1932589181 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1932589181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 10425 W North Ave Ste 312
Wauwatosa, WI 53226-2416 - Phone
- (414) 509-0029
- Fax
- (414) 296-8859
- NPI assigned
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Worries Wellness LLC | Professional | Current |
Accepting new patients |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Solutions Behavioral Health Group, SC | Past | Accepting new patients |
Locations
10425 W North Ave
Ste 312
Wauwatosa, WI 53226
Phone (414) 420-9419
Interoperability endpoints
- jordanbrown@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
10425 W North Ave Ste 312
Wauwatosa, WI 53226-2416
Mailing address
10425 W North Ave Ste 312
Wauwatosa, WI 53226-2416
Phone (414) 509-0029
Other practice location 1
10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone (414) 777-0740
Other names
- Jordan Kaminski
Other providers in Wauwatosa, WI
- James Thomas Brinsko
- Nancy Ann Brittain
- Elliot L Broch
- Jillian Brooks
- Ann M Brophy
- Laquanda Brown
- Sylvia Brown
- Nicole Ashley Broz
- Suellen Brueckner
- Walter Brummund
All providers in Wauwatosa, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.