1. Home
  2. Directory
  3. Massachusetts
  4. South Yarmouth
  5. Counselor
  6. NPI Profile

STEPHENQ MICHEAL JORDAN M.S.
NPI 1639618010
Counselor - Addiction (Substance Use Disorder) in South Yarmouth, MA

Active since February 17, 2017
31 WORKSHOP RD, SOUTH YARMOUTH, MA 02664(855) 830-4329 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephenq Micheal Jordan M.s. NPPES

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

STEPHENQ MICHEAL JORDAN M.S. (NPI 1639618010) is an individual addiction (substance use disorder) provider in South Yarmouth, Massachusetts and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1639618010
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHENQ MICHEAL JORDANCredential: M.S.
Location Address31 WORKSHOP RDSouth Yarmouth, MA 02664-1210
Mailing Address60 Pine Hill BlvdMashpee, MA 02649-2850 · (855) 830-4329
Phone(855) 830-4329
Sole ProprietorNo
Enumeration DateFebruary 17, 2017
✔ NPI 1639618010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
31 WORKSHOP RD, South Yarmouth, MA 02664
Open in Google Maps ↗

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 Stephenq Jordan's NPI number?

The NPI number for Stephenq Jordan is 1639618010. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Where is Stephenq Jordan located?

Stephenq Jordan practices at 31 Workshop Rd, South Yarmouth, MA 02664. The listed phone number is (855) 830-4329.

What is Stephenq Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stephenq Jordan was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.