Andrina Jordan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009892 Issued in MI

Practice address

801 Hazen St
Paw Paw, MI 49079-2008

Phone

(269) 655-3334

Fax

(269) 657-6523

NPI assigned

Mar 31, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrinajordan@tdh.allscriptsdirect.net

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.

• 712 Q.a.C.C. Counseling for the Soul

  • Mental Health Counselor
  • Savannah, GA
  • NPI 1922633692
  NPD Authorized official
• Q & a'S Counseling Corner

  • Community/Behavioral Health Agency
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  • NPI 1982840245
  NPD Authorized official
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  • Family Medicine Physician
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  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1245625920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931383",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30003",
            "telephone_number": "678-744-5603",
            "fax_number": "877-278-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAZEN ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490792008",
            "telephone_number": "269-655-3334",
            "fax_number": "269-657-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ANDRINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A Jeffers III
• Leah Johnson
• Marlesa Maria Johnson, DPT
• Meadow Alise Johnson
• Roderick Lynn Johnson, M.A.
• Joseph Dental Group
• Kanaan Therapy and Behavioral Health Services, LLC
• Paula Renee Kanaan, LMSW
• Timothy Adli Kanaan, LPC
• Wade Addam Kapik, LLP

• Professional Counselor in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.