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MR. JORDAN PHILLIP WATERS LICENSED PCC
NPI 1316672595
Counselor - Mental Health in Modesto, CA

Active since July 21, 2022
2000 W BRIGGSMORE AVE, MODESTO, CA 95350(209) 526-1440 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Mar 2, 2026, Aug 30, 2022 and 2 more (5 updates tracked since 2022).

About Mr. Jordan Phillip Waters Licensed Pcc NPPES

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

MR. JORDAN PHILLIP WATERS LICENSED PCC (NPI 1316672595) is an individual mental health provider in Modesto, California, licensed in California (22034) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1316672595
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JORDAN PHILLIP WATERSCredential: LICENSED PCC
Location Address2000 W BRIGGSMORE AVEModesto, CA 95350-3839
Mailing Address2000 W Briggsmore Ave, Building AModesto, CA 95350-3839 · (209) 679-3114
Phone(209) 526-1440
Sole ProprietorYes
Enumeration DateJuly 21, 2022
Last NPPES UpdateApril 3, 20265 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1316672595 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 CA · 22034
2000 W BRIGGSMORE AVE, Modesto, CA 95350
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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.

BREANNA TORRES
Student in an Organized Health Care Education/Training Program
2000 W BRIGGSMORE AVE
MODESTO, CA 95350
Stanislaus County (209) 526-1476
COLLEEN MCKINNIS
Student in an Organized Health Care Education/Training Program
2000 W BRIGGSMORE AVE
MODESTO, CA 95350
Stanislaus County (209) 526-1476
CHASE FETZER
Counselor (Professional)
2000 W BRIGGSMORE AVE
MODESTO, CA 95350
Stanislaus County (209) 526-1476
EDWIN SALVADOR ALVARADO
Counselor (Professional)
2000 W BRIGGSMORE AVE
MODESTO, CA 95350
Stanislaus County (209) 526-1476
LINDA K FRANK MFT
Marriage & Family Therapist
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1440
SHARAI SANCHEZ- LARIOS
Counselor (Professional)
2000 W BRIGGSMORE AVE
MODESTO, CA 95350
Stanislaus County (209) 526-1476
GLADYS HOLMES L.M.F.T.
Marriage & Family Therapist
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1440
MARIA ROMERO
Case Manager/Care Coordinator
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476

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 Waters's NPI number?

The NPI number for Jordan Waters is 1316672595. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Jordan Waters located?

Jordan Waters practices at 2000 W Briggsmore Ave, Modesto, CA 95350. The listed phone number is (209) 526-1440.

What is Jordan Waters'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 Waters was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.