Jordan Elliott Jones, MA, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009999 Issued in MI

Practice address

1777 Axtell Dr Ste 100
Troy, MI 48084-4400

Phone

(248) 973-4060

Fax

(248) 385-4060

NPI assigned

Oct 22, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1164243176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37825 WOODRIDGE DR APT 102",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855779",
            "telephone_number": "734-716-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844400",
            "telephone_number": "248-973-4060",
            "fax_number": "248-385-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 W Ann Arbor Trl",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706262",
            "country_code": "US",
            "telephone_number": "734-716-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JORDAN",
        "middle_name": "ELLIOTT",
        "credential": "MA, TLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6362009999",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Joy Jones
• Erika Jones
• Jennifer Christine Jones, LPC
• Jennifer Kristin Jones
• Joey Jones
• Kanika Jones, LPTA
• Megan Jones
• Pamela Merita Jones, R.N., N.P.
• Quiana Jones
• Rosie L Jones, LLBSW

• Clinical Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.