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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NATHANIEL JORDON
NPI 1639096696
Counselor - Mental Health in White Bear Lake, MN

Active since July 01, 2026
4525 WHITE BEAR PKWY STE 226, WHITE BEAR LAKE, MN 55110(612) 702-5432 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathaniel Jordon NPPES

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

NATHANIEL JORDON (NPI 1639096696) is an individual mental health provider in White Bear Lake, Minnesota and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639096696
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameNATHANIEL JORDON
Location Address4525 WHITE BEAR PKWY STE 226White Bear Lake, MN 55110-7660
Mailing Address4525 White Bear Pkwy Ste 226White Bear Lake, MN 55110-7660 · (612) 702-5432
Phone(612) 702-5432
Sole ProprietorYes
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1639096696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4525 WHITE BEAR PKWY STE 226, White Bear Lake, MN 55110
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RIVERS MENTAL HEALTH, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4525 WHITE BEAR PKWY STE 226
WHITE BEAR LAKE, MN 55110
Ramsey County (612) 702-5432

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 Nathaniel Jordon's NPI number?

The NPI number for Nathaniel Jordon is 1639096696. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Nathaniel Jordon located?

Nathaniel Jordon practices at 4525 White Bear Pkwy Ste 226, White Bear Lake, MN 55110. The listed phone number is (612) 702-5432.

What is Nathaniel Jordon'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 Nathaniel Jordon was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.