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JORDAN WALL
NPI 1326915224
Counselor - Mental Health in Azusa, CA

Active since October 23, 2025
23701 E EAST FORK RD, AZUSA, CA 91702(626) 910-1202 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Wall NPPES

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

JORDAN WALL (NPI 1326915224) is an individual mental health provider in Azusa, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1326915224
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN WALL
Location Address23701 E EAST FORK RDAzusa, CA 91702-1477
Mailing Address23701 E East Fork RdAzusa, CA 91702-1477
Phone(626) 910-1202
Sole ProprietorYes
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1326915224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
23701 E EAST FORK RD, Azusa, CA 91702
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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.

KELLY LORENE HEIMDAHL
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
JUSTIN M CONTRERAS
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
MR. MARSHALL DEAN GODFREY
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
MS. CYNTHIA ORONA
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
SCOTT LEE SMITH CADC-I
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
BRENDA GISSELLE ALVAREZ
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
MS. LYNETTE KATHLEEN SINGLETON CADACII
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
BROOKLYNN GARCIA RADT
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202

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 Wall's NPI number?

The NPI number for Jordan Wall is 1326915224. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Jordan Wall located?

Jordan Wall practices at 23701 E East Fork Rd, Azusa, CA 91702. The listed phone number is (626) 910-1202.

What is Jordan Wall'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 Wall was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.