Organization Active NPI

Jordan Imhoff LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyde Park, VT
National Provider Identifier
1952205650
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Mr. Jordan Kyle Imhoff, MA COUNSELINGNPI 1235952862
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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.