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JORDAN BURNINGHAM SUDC
NPI 1841761483
Counselor - Addiction (Substance Use Disorder) in Roy, UT

Active since December 07, 2018

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Dec 7, 2018 (2 updates tracked since 2018).

About Jordan Burningham Sudc NPPES

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

JORDAN BURNINGHAM SUDC (NPI 1841761483) is an individual addiction (substance use disorder) provider in Roy, Utah, licensed in Utah (7187189-6005) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1841761483
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJORDAN BURNINGHAMCredential: SUDC
Location Address4965 S 3500 WRoy, UT 84067-9417
Mailing Address845 W 200 NKaysville, UT 84037-2406 · (801) 330-3440
Phone(801) 330-3440
Sole ProprietorNo
Enumeration DateDecember 7, 2018
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1841761483 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
License✔ Licensed in UT · 7187189-6005
4965 S 3500 W, Roy, UT 84067
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DIAMOND DETOX, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4965 S 3500 W
ROY, UT 84067
Weber County (385) 888-9624
TWILIGHT MANAGEMENT
Assisted Living Facility
4965 S 3500 W
ROY, UT 84067
Weber County (801) 985-1030

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 Burningham's NPI number?

The NPI number for Jordan Burningham is 1841761483. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Jordan Burningham located?

Jordan Burningham practices at 4965 S 3500 W, Roy, UT 84067. The listed phone number is (801) 330-3440.

What is Jordan Burningham'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 Jordan Burningham was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.