JORDIN NICHOLE BOEHLKE CBT - NPI 1164363149

Q: What is Jordin Boehlke's NPI number?

The NPI number for Jordin Boehlke is 1164363149. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Q: What is Jordin Boehlke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jordin Boehlke was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jordin Nichole Boehlke Cbt NPPES

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

JORDIN NICHOLE BOEHLKE CBT (NPI 1164363149) is an individual mental health provider in Phoenix, Arizona, licensed in Washington (CBT.CB.61681925) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1164363149

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJORDIN NICHOLE BOEHLKECredential: CBT

Location Address9150 W INDIAN SCHOOL RD STE 105Phoenix, AZ 85037-2385

Mailing Address945 N Central AveWoodmere, NY 11598-1604 · (516) 206-8900

Phone(516) 206-8900

Sole ProprietorNo

Enumeration DateApril 2, 2026

NPPES CertifiedApril 2, 2026

✔ NPI 1164363149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · CBT.CB.61681925

9150 W INDIAN SCHOOL RD STE 105, Phoenix, AZ 85037

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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.

SONJA UZELAC

Specialist/Technologist (Speech-Language Assistant)