Ra Jordan Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0106 Issued in NM

Legal business name

RA JORDAN CONSULTING LLC

Practice address

320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955

Phone

(505) 345-2778

Fax

(505) 345-2878

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalie A Jordan, M.A.

Title

LPCC

Phone

(505) 345-2778

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1336686542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778",
            "fax_number": "505-345-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778",
            "fax_number": "505-345-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA JORDAN CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "505-345-2778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516463954",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.