Jordan McEuen, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

263002 Issued in KY

Practice address

645 S Roy Wilkins Ave Ste 100
Louisville, KY 40203-2072

Phone

(502) 583-4092

Fax

(502) 371-6110

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleanse Clinic, PLLC

  • Addiction Psychiatry Physician
  • Louisville, KY
  • NPI 1659726628
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1447860572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W BROADWAY STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023245",
            "telephone_number": "502-561-0943",
            "fax_number": "502-561-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROY WILKINS AVE STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032072",
            "telephone_number": "502-583-4092",
            "fax_number": "502-371-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEUEN",
        "first_name": "JORDAN",
        "credential": "TCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "263002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Labore McElroy, PT, DPT, WCS
• Shelton McElroy
• Suzanne Havner McElroy, OTR
• Brent E. McEntire, MD
• Renee S McEntire, O.D.
• Courtney McEuin, PSY.D.
• Jorja E McFadden, PA-C
• Rachel McFadden, MS, OTR
• Brookelynn McFall
• Gregory Lucas McFall, APRN

• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.