Jordan Christine Elliott

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

14 Office Park Cir
Mountain BRK, AL 35223-2563

Phone

(205) 905-7099

Fax

(205) 905-7099

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jordan Christine Moore Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1205433877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 STONECREEK CT",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350808014",
            "telephone_number": "559-799-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232563",
            "telephone_number": "205-905-7099",
            "fax_number": "205-905-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6869 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352121866",
            "country_code": "US",
            "telephone_number": "205-833-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2033 Stonecreek Ct",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "AL",
            "postal_code": "350808014",
            "country_code": "US",
            "telephone_number": "559-799-9241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JORDAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jelliott23@my.gcu.edu",
            "affiliation": "N",
            "address_1": "2033 Stonecreek Ct",
            "city": "Helena",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350808014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MOORE",
            "middle_name": "CHRISTINE",
            "prefix": "MISS",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ali Elliott, MS, RD, LD
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• William Allen Engle, DPT
• Ergoscience, Inc

• Professional Counselor in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.