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JORDAN BETH HOLTHAUS
NPI 1114395068
Counselor - Addiction (Substance Use Disorder) in Des Moines, IA

Active since September 09, 2015
1409 CLARK ST, DES MOINES, IA 50314(515) 643-6584 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Beth Holthaus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN BETH HOLTHAUS (NPI 1114395068) is an individual addiction (substance use disorder) provider in Des Moines, Iowa and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1114395068
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJORDAN BETH HOLTHAUS
Location Address1409 CLARK STDes Moines, IA 50314-1964
Mailing Address1409 Clark StDes Moines, IA 50314-1964 · (515) 643-6584
Phone(515) 643-6584
Sole ProprietorNo
Enumeration DateSeptember 9, 2015
✔ NPI 1114395068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1409 CLARK ST, Des Moines, IA 50314
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURI AUXIER CADC
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6500
STACEY CRANDALL
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6500
JENNA BRONSON BA
Social Worker
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6500
SHAINA GAUL TLMHC
Counselor (Mental Health)
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6534
DONEVAN ETHAN ROE
Social Worker
1409 CLARK ST
DES MOINES, IA 50314
Polk County (480) 773-9370
CHELSEY MARIE SMITH BA
Peer Specialist
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6501
MEGAN MCGUIRE CADC
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6548
NATALIE F CARDAMONE
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Polk County (515) 643-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Holthaus's NPI number?

The NPI number for Jordan Holthaus is 1114395068. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Jordan Holthaus located?

Jordan Holthaus practices at 1409 Clark St, Des Moines, IA 50314. The listed phone number is (515) 643-6584.

What is Jordan Holthaus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordan Holthaus was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.