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DR. JORDAN MICHAEL BLACKTOP PHD
NPI 1225759566
Counselor - Mental Health in Coos Bay, OR

Active since September 06, 2022
281 LACLAIR ST, COOS BAY, OR 97420(541) 266-6700 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan Michael Blacktop Phd NPPES

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

DR. JORDAN MICHAEL BLACKTOP PHD (NPI 1225759566) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1225759566
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JORDAN MICHAEL BLACKTOPCredential: PHD
Location Address281 LACLAIR STCoos Bay, OR 97420-2988
Mailing Address281 Laclair StCoos Bay, OR 97420-2988 · (541) 266-6700
Phone(541) 266-6700
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1225759566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
281 LACLAIR ST, Coos Bay, OR 97420
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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.

ELIZABETH HARTE DAVENPORT QMHA
Case Manager/Care Coordinator
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6700
PRISCILIA BRAVO GOMEZ
Counselor (Mental Health)
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6700
KATELYN NICOLE SIMONS QMHA
Case Manager/Care Coordinator
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6868
TAMARA SUE ALEY
Case Manager/Care Coordinator
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 808-7244
COOS COUNTY OREGON
Public Health or Welfare
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6700
JACOB RYAN STRADLING PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6733
MANDY D. SMITH
Case Manager/Care Coordinator
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6700
SHANA HOWARD MSW
Social Worker
281 LACLAIR ST
COOS BAY, OR 97420
Coos County (541) 266-6700

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 Blacktop's NPI number?

The NPI number for Jordan Blacktop is 1225759566. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Jordan Blacktop located?

Jordan Blacktop practices at 281 Laclair St, Coos Bay, OR 97420. The listed phone number is (541) 266-6700.

What is Jordan Blacktop's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Blacktop was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.