Individual provider Active NPI

Jordan English Valentim, AMFT

  • Marriage & Family Therapist
  • Tuscaloosa, AL
National Provider Identifier
1174299523
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
A263 Issued in AL
Practice address
2910 7TH St
Tuscaloosa, AL 35401-1810
Phone
(205) 210-8099
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X A263 AL Primary

Addresses

Primary practice location

2910 7TH St
Tuscaloosa, AL 35401-1810

Mailing address

2910 7TH St
Tuscaloosa, AL 35401-1810
Phone (205) 210-8099

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

LicenseStateTypeSpecialty
A263ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Therapy Services, LLC Marriage & Family Therapist CurrentSince Aug 28, 2021 Accepting new patients
Lifeflow Therapy Services, LLC Marriage & Family Therapist Current Accepting new patients

Locations

2910 7th St
Tuscaloosa, AL 35401
Phone (205) 210-8099

Organizations & group practices 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1174299523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011810",
            "telephone_number": "205-210-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011810",
            "telephone_number": "205-210-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIM",
        "first_name": "JORDAN",
        "middle_name": "ENGLISH",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "A263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.