Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Goldstein

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790300747

Jordan Goldstein is an Addiction (Substance Use Disorder) Counselor in Lake View Terrace, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone: (818) 686-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 163913 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25061 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1790300747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

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