Active NPI
Jordan Imhoff LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyde Park, VT
National Provider Identifier
1952205650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JORDAN IMHOFF LLC
- Practice address
- 832 Barnes Rd
Hyde Park, VT 05655-9666 - Phone
- (802) 585-9350
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jordan Kyle Imhoff, MA COUNSELING
- Title
- Lcmhc
- Phone
- (802) 585-9350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
832 Barnes Rd
Hyde Park, VT 05655-9666
Mailing address
832 Barnes Rd
Hyde Park, VT 05655-9666
Phone (802) 585-9350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Hyde Park, VT
- NPI 1235952862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1952205650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 BARNES RD",
"city": "HYDE PARK",
"state": "VT",
"postal_code": "056559666",
"telephone_number": "802-585-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 BARNES RD",
"city": "HYDE PARK",
"state": "VT",
"postal_code": "056559666",
"telephone_number": "802-585-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDAN IMHOFF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "IMHOFF",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "LCMHC",
"authorized_official_telephone_number": "802-585-9350",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA COUNSELING"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.