Individual provider Active NPI

Joshua Jordan

  • Addiction (Substance Use Disorder) Counselor
  • Eugene, OR
National Provider Identifier
1942815204
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
78 Centennial Loop Ste a
Eugene, OR 97401-7900
Phone
(541) 687-0777
Fax
(541) 687-9279
NPI assigned
Sep 14, 2020
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

78 Centennial Loop Ste a
Eugene, OR 97401-7900

Mailing address

78 Centennial Loop Ste a
Eugene, OR 97401-7900
Phone (541) 687-0777

Other practice location 1

4969 Highway 101 Unit 3
Florence, OR 97439-7803
Phone (541) 393-0777

Other practice location 2

374 Q St
Springfield, OR 97477-2140
Phone (541) 393-0777

Other practice location 3

1461 Oak St
Eugene, OR 97401-4007
Phone (541) 687-9141

Other practice location 4

1040 Oak St
Eugene, OR 97401-3132
Phone (541) 342-6987

Other practice location 5

2149 Centennial Plz Ste 4
Eugene, OR 97401-2456
Phone (541) 741-7107

Other practice location 6

1856 Grand Prairie Rd SE
Albany, OR 97322-5521
Phone (541) 393-0777

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Counseling and Education Services Inc. Addiction (Substance Use Disorder) PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1942815204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-687-0777",
            "fax_number": "541-687-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-687-0777",
            "fax_number": "541-687-9279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4969 Highway 101 Unit 3",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974397803",
            "country_code": "US",
            "telephone_number": "541-393-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 Q St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974772140",
            "country_code": "US",
            "telephone_number": "541-393-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014007",
            "country_code": "US",
            "telephone_number": "541-687-9141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013132",
            "country_code": "US",
            "telephone_number": "541-342-6987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 Centennial Plz Ste 4",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012456",
            "country_code": "US",
            "telephone_number": "541-741-7107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1856 Grand Prairie Rd SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973225521",
            "country_code": "US",
            "telephone_number": "541-393-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.