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ANDREW JORDAN
NPI 1912874793
Community/Behavioral Health in Boise, ID

Active since October 17, 2025
8620 W EMERALD ST STE 150, BOISE, ID 83704(208) 617-3265 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Andrew Jordan NPPES

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

ANDREW JORDAN (NPI 1912874793) is an individual community/behavioral health provider in Boise, Idaho and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1912874793
Entity TypeIndividual
Primary Taxonomy251S00000X
Provider Legal NameANDREW JORDAN
Location Address8620 W EMERALD ST STE 150Boise, ID 83704-4839
Mailing Address4148 W Brenda LnMeridian, ID 83646-9038
Phone(208) 617-3265
Sole ProprietorYes
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1912874793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8620 W EMERALD ST STE 150, Boise, ID 83704
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Other Providers at the Same Location NPPES 20

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

MADISON COHEN
Community/Behavioral Health
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
REILLY KINKADE OLSON
Community/Behavioral Health
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
CASSIDI LYNNETTE BOWERS LCPC
Counselor (Professional)
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
PETER L KANE
Peer Specialist
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
MARGARETE MARJORIE KIEFER-EBBEN
Community/Behavioral Health
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
KIRI VAWDREY
Counselor (Mental Health)
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
EMMA DAVIS
Community/Behavioral Health
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265
RHIANNON GILBERT-WEIK
Community/Behavioral Health
8620 W EMERALD ST STE 150
BOISE, ID 83704
Ada County (208) 617-3265

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 Andrew Jordan's NPI number?

The NPI number for Andrew Jordan is 1912874793. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Andrew Jordan located?

Andrew Jordan practices at 8620 W Emerald St Ste 150, Boise, ID 83704. The listed phone number is (208) 617-3265.

What is Andrew Jordan's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Andrew Jordan was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.