Susan K Jordan Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SUSAN K JORDAN COUNSELING

Practice address

900 Trail Ridge Rd Ste 126
Aiken, SC 29803-7765

Phone

(803) 998-8008

NPI assigned

Jan 29, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Kleck Jordan, LPCNPI 1093898926

Title

Owner

Phone

(803) 998-8008

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Kleck Jordan, LPC

  • Professional Counselor
  • Aiken, SC
  • NPI 1093898926
  NPD Authorized official
• Carol Ardington, LMSW

  • Social Worker
  • Aiken, SC
  • NPI 1184031791
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1417719915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD STE 126",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "803-998-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD STE 126",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "803-998-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K JORDAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KLECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-998-8008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI 1",
            "identifier": "1093898926",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SCS8470281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Aiken, SC
• Providers in Aiken, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.