Active NPI
Jordyn Chandler
- Mental Health Counselor
- Dover, DE
National Provider Identifier
1124687843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC0000922
- Practice address
- 872C Walker Rd Ste 1
Dover, DE 19904-2727 - Phone
- (302) 285-9863
- NPI assigned
- Jun 6, 2019
- Last updated
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PC0000922 | DE | Primary |
Addresses
Primary practice location
872C Walker Rd Ste 1
Dover, DE 19904-2727
Mailing address
872C Walker Rd Ste 1
Dover, DE 19904-2727
Phone (302) 285-9863
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 |
|---|---|---|---|
| PC0000922 | DE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLC Wellness Solutions, LLC | Mental Health | Current | Accepting new patients |
Locations
872 Walker Rd
Ste 1
Dover, DE 19904
Phone (302) 285-9863
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Dover, DE
- NPI 1174114912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1124687843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872C WALKER RD STE 1",
"city": "DOVER",
"state": "DE",
"postal_code": "199042727",
"telephone_number": "302-285-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872C WALKER RD STE 1",
"city": "DOVER",
"state": "DE",
"postal_code": "199042727",
"telephone_number": "302-285-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC0000922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.