Melissa Ilione Jordan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201410 Issued in TX

Practice address

620 E Afton Oaks Blvd
San Antonio, TX 78232-1236

Phone

(210) 568-8554

NPI assigned

Jun 22, 2007

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

• Melissa Ilione Riecker Former 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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1356547848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 EL SIMPATICO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336800",
            "telephone_number": "210-268-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E AFTON OAKS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321236",
            "telephone_number": "210-568-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MELISSA",
        "middle_name": "ILIONE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RIECKER",
            "middle_name": "ILIONE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hilliard Earl Jordan Jr., MD
• Joann Jordan, RN
• John Gibbons Jordan Jr., M.D., M.P.H.
• Justina Jordan, MS, RDN, LDN
• Keisha Jordan
• Monique N Jordan
• Rubin Lionel Jordan
• Seth Raymond Jordan, LMSW, LCSW
• Simone Jordan, PTA
• Victoria Jordan, RBT

• Marriage & Family Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.