JORDAN IMHOFF LLC NPI 1952205650

NPI Information

  • NPI: 1952205650
  • Provider Name: JORDAN IMHOFF LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • :
  • Address: 832 BARNES RD
    HYDE PARK, VT
    ZIP 05655
  • Phone: (802) 585-9350

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NPI Details

JORDAN IMHOFF LLC is a mental health (including community mental health center) clinic center in Hyde Park, VT. JORDAN IMHOFF LLC NPI is 1952205650. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

832 BARNES RD
HYDE PARK, VT
ZIP 05655-666
Phone: (802) 585-9350

The provider's authorized official is Jordan Kyle Imhoff .
The authorized official title is Lcmhc and has the following contact phone number (802) 585-9350.

The enumeration date for this NPI number is 10/6/2026 and was last updated on 10/6/2026.

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 Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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