JORDAN BRIEDE
NPI 1164902227
Counselor in South Lake Tahoe, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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: July 19, 2026.

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

On this page

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

Open in Google Maps ↗

Secondary Practice Location 1

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