Individual provider Active NPI

Diante Scott Jordan

  • Mental Health Counselor
  • Paramus, NJ
National Provider Identifier
1285348797
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37FA00032700 Issued in NJ
Practice address
15 Farview Ter Ste 1
Paramus, NJ 07652-2762
Phone
(551) 579-4441
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37FA00032700 NJ Primary

Addresses

Primary practice location

15 Farview Ter Ste 1
Paramus, NJ 07652-2762

Mailing address

15 Farview Ter Ste 1
Paramus, NJ 07652-2762
Phone (551) 579-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37FA00032700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
D & S Psychological Services LLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

15 Farview Ter
Ste 1
Paramus, NJ 07652
Phone (551) 579-4441

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1285348797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FARVIEW TER STE 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522762",
            "telephone_number": "551-579-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FARVIEW TER STE 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522762",
            "telephone_number": "551-579-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DIANTE",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37FA00032700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.