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Deactivated NPI 1306624549 Deactivated / Inactive NPI Male Practitioner

Jordan Louis Jacobsen

Case Manager/Care Coordinator • Bluffdale, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jordan Jacobsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2023
NPI Deactivation Date November 21, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Jordan Jacobsen was a registered Case Manager/Care Coordinator practicing in Bluffdale, UT. Throughout an active medical career spanning 1 years, Jordan Jacobsen provided care at the practice location at 14241 SOUTH REDWOOD RD. until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

14241 South Redwood Rd.
Suite 300, Building A

Bluffdale, UT 84065

Telephone 3853422808
Associated Practice Facility / Clinic
🏢 Lumos Enterprises Llc Facility NPI 1881313187

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Bluffdale, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Bluffdale, UT (4472 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Chelsea Boushka

Counselor - Mental Health

NPI 1023875929
Kenneth Apgood , AMFT

Counselor - Mental Health

NPI 1083326672

Associate Marriage and Family Therapist

NPI 1164299780

MSWI

NPI 1356061402

Clinical Social Worker

Jennifer Bowman

Student in an Organized Health Care Education/Training Program

NPI 1376310417
Alexandria Thomas , LCSW

Social Worker - Clinical

NPI 1437652773

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 21, 2024

Record deactivated on November 21, 2024

NPI Profile Active September 19, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2023

Registered at 14241 SOUTH REDWOOD RD., SUITE 300, BUILDING A, BLUFFDALE, UT 84065 (Tel: 3853422808)

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Updated Business Mailing Address September 19, 2023

Registered at PO BOX 1270, RIVERTON, UT 840651270 (Tel: 3853422808)

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Provider Name / Credentials Updated September 19, 2023

Recorded as JORDAN JACOBSEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2023

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration September 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306624549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2023
Last Update: September 19, 2023
Deactivation Date: November 21, 2024

Mailing Address

Po Box 1270

Riverton, UT 840651270

Phone: 3853422808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.