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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
No Worries Wellness LLC Professional Current
since Sep 23, 2021
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

  • Direct secure messaging: jordanbrown@tdh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 name

Other providers in Wauwatosa, WI

All providers in Wauwatosa, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.