Active NPI
Susan M Jordan, M.ED.
- Mental Health Counselor
- Chelmsford, MA
National Provider Identifier
1366599839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3194
- Practice address
- 1 Meeting House Rd
Suite 16
Chelmsford, MA 01824-2733 - Phone
- (978) 256-1288
- Fax
- (978) 256-1288
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3194 | MA | Primary |
Addresses
Primary practice location
1 Meeting House Rd
Suite 16
Chelmsford, MA 01824-2733
Mailing address
3 Apache TRL
Arlington, MA 02474-1801
Phone (978) 256-1288
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3194 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366599839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 APACHE TRL",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024741801",
"telephone_number": "978-256-1288",
"fax_number": "978-256-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEETING HOUSE RD",
"address_2": "SUITE 16",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242733",
"telephone_number": "978-256-1288",
"fax_number": "978-256-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "3194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.