JORDAN TAYLOR HEIDE BA CC CPC SUDPT NPI 1528728151

NPI Information

NPI: 1528728151
Provider Name: JORDAN TAYLOR HEIDE, BA, CC, CPC, SUDPT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 16715 AURORA AVE N STE 102
SHORELINE, WA
ZIP 98133
Phone: (206) 546-9766

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NPI Details

Jordan Taylor Heide, BA, CC, CPC, SUDPT is a student in an organized health care education training program in Shoreline, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan Taylor Heide, BA, CC, CPC, SUDPT NPI is 1528728151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16715 AURORA AVE N STE 102
SHORELINE, WA
ZIP 98133-310
Phone: (206) 546-9766

The enumeration date for this NPI number is 12/22/2021 and was last updated on 4/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	101Y00000X	Counselor		No
2	175T00000X	Peer Specialist	WASHINGTON	No
3	390200000X	Student in an Organized Health Care Education/Training Program		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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