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

Jordan Thomas Ottenbacher

Individual provider Mental Health Counselor · NPI 1619590155

Jordan Thomas Ottenbacher is a Mental Health Counselor in Adel, Iowa. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
6
Licensed in
IA
In the registry since
2020

Practice location Address checks out

2111 Greene St Unit 14
Adel, IA 50003-1646
Phone: (701) 429-4759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IA)

Record details

NPI number1619590155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Adel