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JORDAN HEIDEN
NPI 1336508514
Counselor - Professional in Haddonfield, NJ

Active since February 17, 2016Opted out of Medicare · through Jan 10, 2028
300 W MOUNT VERNON AVE, HADDONFIELD, NJ 08033(845) 208-4671 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Jul 21, 2022, Apr 19, 2017 and 1 more (4 updates tracked since 2016).

About Jordan Heiden NPPES

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

JORDAN HEIDEN (NPI 1336508514) is an individual professional provider in Haddonfield, New Jersey, licensed in New Jersey (37PC00574400) and active in the NPI registry since February 2016. He has opted out of Medicare through January 10, 2028 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1336508514
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN HEIDEN
Location Address300 W MOUNT VERNON AVEHaddonfield, NJ 08033-2524
Mailing Address300 W Mount Vernon AveHaddonfield, NJ 08033-2524 · (407) 552-1510
Phone(845) 208-4671
Sole ProprietorYes
Enumeration DateFebruary 17, 2016
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1336508514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NJ · 37PC00574400✔ Licensed in NY · 007510
300 W MOUNT VERNON AVE, Haddonfield, NJ 08033
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Secondary Practice Location 1

Location 11060 S Sherbourne Dr Apt 308Los Angeles, CA 90035-2145 · Phone (805) 410-3181

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Heiden has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Heiden's NPI number?

The NPI number for Jordan Heiden is 1336508514. It was assigned to this individual provider in the NPPES registry on February 17, 2016.

Where is Jordan Heiden located?

Jordan Heiden practices at 300 W Mount Vernon Ave, Haddonfield, NJ 08033. The listed phone number is (845) 208-4671.

What is Jordan Heiden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jordan Heiden enrolled in Medicare?

No. Jordan Heiden has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Heiden was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.