Active NPI
Jordan Consulting and Counseling, LLC
- Counselor
- Maple Grove, MN
National Provider Identifier
1194127878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC00759
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC00759 | MN | Primary |
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.