Individual provider Active NPI

Hannah Elise Jordan

  • Mental Health Counselor
  • Acworth, GA
National Provider Identifier
1407591746
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3459 Acworth Due West Rd NW Ste 210
Acworth, GA 30101-5826
Phone
(404) 909-7512
NPI assigned
May 2, 2022
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X GA Primary

Addresses

Primary practice location

3459 Acworth Due West Rd NW Ste 210
Acworth, GA 30101-5826

Mailing address

201 Cleburne Ave NW
Marietta, GA 30064-2317
Phone (404) 909-7512

Other names 1

  • Hannah Elise Jordan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2024 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1407591746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CLEBURNE AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642317",
            "telephone_number": "404-909-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 210",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015826",
            "telephone_number": "404-909-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "HANNAH",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "JORDAN",
            "middle_name": "ELISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.