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JORDAN LEWIS WIEDERSTEIN LPC
NPI 1255635967
Counselor in San Antonio, TX

Active since January 10, 2011
1506 BEXAR CROSSING ST, SAN ANTONIO, TX 78232(210) 208-5633(210) 832-5005 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Lewis Wiederstein Lpc NPPES

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

JORDAN LEWIS WIEDERSTEIN LPC (NPI 1255635967) is an individual counselor in San Antonio, Texas, licensed in Texas (64300) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1255635967
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN LEWIS WIEDERSTEINCredential: LPC
Location Address1506 BEXAR CROSSING STSan Antonio, TX 78232-1587
Mailing Address1506 Bexar Crossing StSan Antonio, TX 78232-1587 · (210) 208-5633 · Fax (210) 832-5005
Phone(210) 208-5633
Fax(210) 832-5005
Sole ProprietorNo
Enumeration DateJanuary 10, 2011
✔ NPI 1255635967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 64300
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.
1506 BEXAR CROSSING ST, San Antonio, TX 78232
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Other Names 1

Former Name (1)Jordan Lewis

Other Providers at the Same Location NPPES

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

DANIELLE MARIE HAGAN LPC
Counselor (Professional)
1506 BEXAR CROSSING ST
SAN ANTONIO, TX 78232
Bexar County (512) 630-8447

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 Wiederstein's NPI number?

The NPI number for Jordan Wiederstein is 1255635967. It was assigned to this individual provider in the NPPES registry on January 10, 2011. The provider is also known as Jordan Lewis.

Where is Jordan Wiederstein located?

Jordan Wiederstein practices at 1506 Bexar Crossing St, San Antonio, TX 78232. The listed phone number is (210) 208-5633.

What is Jordan Wiederstein'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 Wiederstein was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.