JORDAN JOSEPH GRANATA
NPI 1366989030
Counselor - Mental Health in Bend, OR

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 19, 2017

63311 JAMISON ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jordan Joseph Granata NPPES

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

JORDAN JOSEPH GRANATA (NPI 1366989030) is an individual mental health provider in Bend, Oregon and active in the NPI registry since January 2017.

NPI1366989030

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJORDAN JOSEPH GRANATA

Location Address63311 JAMISON STBend, OR 97703-8288

Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateJanuary 19, 2017

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1366989030 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

63311 JAMISON ST, Bend, OR 97703

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

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