Diane Kathryn Jordan, LPC, CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00098000 Issued in NJ

Practice address

156 Neptune Ave
Jersey City, NJ 07305-2508

Phone

(201) 918-6051

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

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 names 1

• Ms. Diane Kathryn Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1245691831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NEPTUNE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052508",
            "telephone_number": "201-918-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 NEPTUNE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052508",
            "telephone_number": "201-918-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DIANE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LPC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00098000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "JORDAN",
            "middle_name": "KATHRYN",
            "prefix": "MS.",
            "credential": "LPC, CCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Marie Jones, LCSW
• Krishnanjali R Jonnalagadda, M.D.
• Padmavathi Jonnalagadda, MD
• Vasudevarao Jonnalagadda, MD
• Aszurde C Jordan
• Jason Jordan
• Paula Jordan, DPT
• Jose B. Ecal, M.D.P.a.
• Jose R Sanchez Pena M.D.P.C
• Jose Y Marmol PC

• Professional Counselor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.