Active NPIIndividual providerSole proprietor

Katherine Jordan, MD, LCMHC

Counselor, Mental Health in Middlebury, Vermont

NPI Number1366217127
Practice location
79 Court St, Middlebury, VT 05753-1406
Fax
—
Last updated
November 21, 2023

Katherine Jordan is a Counselor, Mental Health based in Middlebury, VT. Katherine Jordan practices in Middlebury, VT and has the professional credentials of MD, LCMHC. The NPI Number for Katherine Jordan is 1366217127 and holds a License No. 068.0135603 (VT). The current practice location address for Katherine Jordan is 79 Court St, Middlebury, VT 05753-1406 and can be reached out via phone at 802-989-1556.

Provider Profile Details

NPI Number
1366217127
Provider Name
Katherine Jordan
Credential
MD, LCMHC
Provider Entity Type
Individual
Gender
Female
Address
79 Court St, Middlebury, VT 05753-1406
Phone Number
802-989-1556
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 21, 2023
Last Update Date
November 21, 2023
Certification Date
November 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Court St
Middlebury, VT 05753-1406
State
Vermont
Zip
05753-1406
Phone Number
802-989-1556
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
410 S Ridge Dr
Middlebury, VT 05753-4534
City
Middlebury
State
VT
Zip
05753-4534
Phone Number
802-989-1556

License Information

License Number
068.0135603
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 Katherine Jordan, MD, LCMHC?

The NPI number of Katherine Jordan, MD, LCMHC is 1366217127. It was assigned on November 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Katherine Jordan, MD, LCMHC?

Katherine Jordan, MD, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0135603.

Where does Katherine Jordan, MD, LCMHC practice?

The practice location is 79 Court St, Middlebury, VT 05753-1406. The office can be reached at 802-989-1556 (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 1366217127 directly on the NPPES registry website.

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