IndividualActive
Jordan Kohnke, B.A
NPI 1053858399 · Behavior Technician · Bridgeport, MI
Jordan Kohnke, B.A is a Behavior Technician provider in Bridgeport, MI (NPI 1053858399).
Provider details
- NPI number
- 1053858399
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- B.A
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Phone: (989) 401-1239
Street-level locationGet directions
Mailing address
6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Additional practice locations (1)
- 5815 Bay RdSuite 600Saginaw, MI 48604-2542Phone: (989) 941-3730Fax: (231) 943-1334
Registry dates
- Enumerated
- 2017-01-25
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Frequently asked questions
- What is Jordan Kohnke's NPI number?
- Jordan Kohnke's National Provider Identifier (NPI) is 1053858399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Kohnke's specialty?
- Jordan Kohnke is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jordan Kohnke located?
- Jordan Kohnke's practice location on file with NPPES is 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655.
- What is Jordan Kohnke's phone number?
- The practice phone number listed in the NPPES registry for Jordan Kohnke is (989) 401-1239.
- Is Jordan Kohnke's NPI active?
- Yes — Jordan Kohnke's NPI (1053858399) is active in the NPPES registry as of the last update on 2020-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.