Rosalie Adam Jordan, MA RN LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0106 Issued in NM

Practice address

320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955

Phone

(505) 345-2778

Fax

(505) 345-2878

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

Practice roles

Locations

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.

• Cornerstone Lifeworks LLC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1841837119
  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1184651002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778",
            "fax_number": "505-345-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778",
            "fax_number": "505-345-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROSALIE",
        "middle_name": "ADAM",
        "name_prefix": "Mrs.",
        "credential": "MA RN LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "18593",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OP",
            "identifier": "NM100011",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Jordan, LADAC, CPRP
• Claire Elizabeth Jordan, MD
• Jesus Jordan
• Jody Lea Jordan, MD
• Julia Ann Jordan, PT
• Sheldon Jordan, PHD
• Therese Ann Jordan, LISW
• Jan Emmanuel Anthony Empleo Jorgio
• Ingrid Jorud, MS, RD, LD, CPT
• Jose Guzman RDN LLC

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.