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JORDAN BRIEDE
NPI 1164902227
Counselor in South Lake Tahoe, CA

Active since August 17, 2018
3079 HARRISON AVE STE D, SOUTH LAKE TAHOE, CA 96150(916) 783-5207 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Aug 17, 2018 (2 updates tracked since 2018).

About Jordan Briede NPPES

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

JORDAN BRIEDE (NPI 1164902227) is an individual counselor in South Lake Tahoe, California and active in the NPI registry since August 2018. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1164902227
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN BRIEDE
Location Address3079 HARRISON AVE STE DSouth Lake Tahoe, CA 96150-7976
Mailing Address3079 Harrison Ave Ste DSouth Lake Tahoe, CA 96150-7976 · (916) 783-5207
Phone(916) 783-5207
Sole ProprietorNo
Enumeration DateAugust 17, 2018
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1164902227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3079 HARRISON AVE STE D, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 13415 SE Powell BlvdPortland, OR 97202-3371 · Phone (503) 234-9591

Other Providers at the Same Location NPPES 12

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

COURTNEY WOOD
Rehabilitation Practitioner
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (864) 325-4741
MARC ESTABROOK
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
KATRINA GABRIELLE JOY RN
Rehabilitation Practitioner
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 725-9969
ROBERT CHRISTIAN REYNOLDS
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
WENDY MARY LIEBLER
Counselor (Mental Health)
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
ALEXIS MARIE WILSON B.S.
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 581-4054
NICHOLAS ANGLETON
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (214) 794-1568
DREW NICOLAS DUNBAR
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 622-3345

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 Briede's NPI number?

The NPI number for Jordan Briede is 1164902227. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Jordan Briede located?

Jordan Briede practices at 3079 Harrison Ave Ste D, South Lake Tahoe, CA 96150. The listed phone number is (916) 783-5207.

What is Jordan Briede's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Briede was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.