Colleen Rebecca Jordan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7606 Issued in MA

Practice address

75 S Church St
6TH Floor Suite 6
Pittsfield, MA 01201-6157

Phone

(413) 358-4757

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2012.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1053669481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST",
            "address_2": "6TH FLOOR SUITE 6",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016157",
            "telephone_number": "413-358-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST",
            "address_2": "6TH FLOOR SUITE 6",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016157",
            "telephone_number": "413-358-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "COLLEEN",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Jones, MD
• Faith Burrington Jones, MAS
• Jacqueline M Jones, M.D
• Rebecca Jones, M.ED.
• Elizabeth Joppru, DPT
• Helen Joseph
• Monique Manka Joseph, MD
• Joshua Yurfest MD PC
• Patrick MN Joslin
• Nichole Juliano

• All providers in Pittsfield, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.