Generations

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

GENERATIONS

Practice address

1677 Mahan Blvd
Tallahassee, FL 32308

Phone

(850) 222-0046

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Shauntai Nicole Jordan, MSW, MASS

Title

Therapist

Phone

(850) 321-5365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1366749905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 BUTTON WILLOW LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 MAHAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-222-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHAUNTAI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "850-321-5365",
        "authorized_official_credential": "MSW, MASS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.