Individual provider Active NPI

Jordyn Roberts Hohstadt, LMFT ASSOCIATE

  • Marriage & Family Therapist
  • Corvallis, OR
National Provider Identifier
1962164343
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
420 NW 2ND St
Corvallis, OR 97330-6442
Phone
(541) 203-0523
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X OR Primary

Addresses

Primary practice location

420 NW 2ND St
Corvallis, OR 97330-6442

Mailing address

585 SE Viewmont Ave
Corvallis, OR 97333-1903
Phone (541) 203-0523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828002228 OR Practitioner - Mental Health Counselor 0941749410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluhming Therapy and Wellness Marriage & Family Therapist CurrentSince Oct 17, 2021 Accepting new patients
Transformative Health and Wellness CurrentSince Aug 15, 2024 Accepting new patients

Locations

1300 NW Harrison Blvd
Corvallis, OR 97330
Phone (541) 203-0485

420 NW 2nd St
Corvallis, OR 97330
Phone (541) 203-0523

Organizations & group practices 2

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1962164343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331903",
            "telephone_number": "541-203-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306442",
            "telephone_number": "541-203-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHSTADT",
        "first_name": "JORDYN",
        "middle_name": "ROBERTS",
        "credential": "LMFT ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.