Organization Active NPI

Jordan Consulting and Counseling, LLC

  • Counselor
  • Maple Grove, MN
National Provider Identifier
1194127878
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC00759 Issued in MN
Legal business name
JORDAN CONSULTING AND COUNSELING, LLC
Practice address
10650 County Road 81
Suite 205
Maple Grove, MN 55369-4075
Phone
(763) 424-2100
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Ms. Elizabeth Jordan-O'Donnell, M.A., LPCC, LADC
Title
Owner
Phone
(763) 424-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CC00759 MN Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 303640 MN

Addresses

Primary practice location

10650 County Road 81
Suite 205
Maple Grove, MN 55369-4075

Mailing address

10650 County Road 81
Suite 205
Maple Grove, MN 55369-4075
Phone (763) 424-2100

National Provider Directory

National Provider Directory

Locations

10650 County Road 81
Ste 205
Maple Grove, MN 55369
Phone (608) 332-3490

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1194127878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694075",
            "telephone_number": "763-424-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694075",
            "telephone_number": "763-424-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CONSULTING AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN-O'DONNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-424-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC00759",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.