Active NPI
Carol Jean Jordan, MFT
- Mental Health Counselor
- North Highlands, CA
National Provider Identifier
1023021599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 36474
- Practice address
- 5747 Watt Ave
North Highlands, CA 95660-4751 - Phone
- (916) 876-8023
- Fax
- (916) 876-7470
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 36474 | CA | Primary |
Addresses
Primary practice location
5747 Watt Ave
North Highlands, CA 95660-4751
Mailing address
10001 Woodcreek Oaks Blvd Apt 517
Roseville, CA 95747-5103
Phone (916) 773-2886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 36474 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Lodging Provider
- North Highlands, CA
- NPI 1013083807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023021599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 WOODCREEK OAKS BLVD APT 517",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475103",
"telephone_number": "916-773-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5747 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604751",
"telephone_number": "916-876-8023",
"fax_number": "916-876-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CAROL",
"middle_name": "JEAN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 36474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.