JORDAN BAIN – NPI #1386026524
Counselor

JORDAN BAIN is a counselor located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1386026524 to JORDAN BAIN on June 24, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YM0800X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN BAIN below.

NPI Profile for
JORDAN BAIN

NPI Number
1386026524
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN BAIN
Primary location
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone: (309) 827-5351 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YM0800X
- Counselor / Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.