Tonya Felicia Jordan, MS, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007521 Issued in GA

Practice address

192 Oakleigh LN
Dallas, GA 30132-4462

Phone

(404) 396-4979

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Live Life Now

  • Community/Behavioral Health Agency
  • Dallas, GA
  • NPI 1942509096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1023448297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 OAKLEIGH LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324462",
            "telephone_number": "404-396-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 OAKLEIGH LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324462",
            "telephone_number": "404-396-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TONYA",
        "middle_name": "FELICIA",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "GA",
            "license": "00073318",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Alexandra Johnson
• Zandra Johnson, LPN
• Kaitlyn Marie Johnston, DPT
• Olumide Jolayemi
• Abigail Jones
• Kristina Joseph, LCSW
• Skyler Perkins Joseph, AUD
• Whitney Joseph
• Journey 4 Hope Counseling Center LLC
• Hernley Jules, PHARMD

• Professional Counselor in Dallas, GA
• Providers in Dallas, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.