Active NPIIndividual providerSole proprietor

Mr. Jordan K Imhoff, LCMHC

Counselor, Mental Health in Hyde Park, Vermont

NPI Number1235952862
Practice location
832 Barnes RD, Hyde Park, VT 05655-9666
Fax
—
Last updated
March 17, 2025

Jordan Kyle Imhoff is a Counselor, Mental Health based in Hyde Park, VT. Jordan Kyle Imhoff practices in Hyde Park, VT and has the professional credentials of LCMHC. The NPI Number for Jordan Kyle Imhoff is 1235952862 and holds a License No. 068.0136011 (VT). The current practice location address for Jordan Kyle Imhoff is 832 Barnes RD, Hyde Park, VT 05655-9666 and can be reached out via phone at 931-244-0182.

Provider Profile Details

NPI Number
1235952862
Provider Name
Jordan Kyle Imhoff
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
832 Barnes RD, Hyde Park, VT 05655-9666
Phone Number
931-244-0182
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2024
Last Update Date
March 17, 2025
Certification Date
March 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
832 Barnes RD
Hyde Park, VT 05655-9666
State
Vermont
Zip
05655-9666
Phone Number
931-244-0182
Hyde Park, VT 05655Get directions →

Provider Business Mailing Address Details

Address
832 Barnes RD
Hyde Park, VT 05655-9666
City
Hyde Park
State
VT
Zip
05655-9666
Phone Number
931-244-0182

License Information

License Number
068.0136011
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jordan K Imhoff, LCMHC?

The NPI number of Mr. Jordan K Imhoff, LCMHC is 1235952862. It was assigned on November 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Jordan K Imhoff, LCMHC?

Mr. Jordan K Imhoff, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0136011.

Where does Mr. Jordan K Imhoff, LCMHC practice?

The practice location is 832 Barnes RD, Hyde Park, VT 05655-9666. The office can be reached at 931-244-0182 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235952862 directly on the NPPES registry website.

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