Jacquelyn Hardy Jordan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13890 Issued in FL

Practice address

7275 Minippi Dr
Orlando, FL 32818-8250

Phone

(407) 619-0737

Fax

(407) 295-1014

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1407062268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S SEMORAN BLVD STE 1150",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925505",
            "telephone_number": "321-972-1875",
            "fax_number": "407-315-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 MINIPPI DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188250",
            "telephone_number": "407-619-0737",
            "fax_number": "407-295-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JACQUELYN",
        "middle_name": "HARDY",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762506500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Jordan Villegas, M.D.
• Allen Gene Jordan III, PA-C
• Anissa Jordan
• Gloria J Jordan, C.P.H.T.
• Iza Nadine Jordan, DO
• Janice Jordan
• Jasmin Jordan, CRNA
• Jeffrey Paul Jordan, MD
• Linda C Jordan, PA
• Mackenzie Jordan, LMHC

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

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