Individual provider Active NPI

Lindsey Jordan

  • Mental Health Counselor
  • Chula Vista, CA
National Provider Identifier
1053667576
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW 32276 Issued in CA
Practice address
730 Medical Center CT
Chula Vista, CA 91911-6618
Phone
(619) 591-5740
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW 32276 CA Primary

Addresses

Primary practice location

730 Medical Center CT
Chula Vista, CA 91911-6618

Mailing address

730 Medical Center CT
Chula Vista, CA 91911-6618
Phone (619) 591-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728001069 NJ Practitioner - Clinical Social Worker 2163883729 Reassigns benefits to 2 organizations
Practice locations: Scotch Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

659 Eagle Rock Ave
Suite 4
West Orange, NJ 07052-2138
Phone (888) 284-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 32276CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Feb 23, 2024 Accepting new patients
Keith Golin PHD LLC CurrentSince Jun 22, 2023 Accepting new patients
Keith Golin PHD LLC Current Accepting new patients
Jewish Family Service of Metrowest PastSince Aug 10, 2025 Accepting new patients

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1053667576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116618",
            "telephone_number": "619-591-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116618",
            "telephone_number": "619-591-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 32276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.