Jennifer Jordan, PH.D., LPC, LPCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3971 Issued in SC

Practice address

229 Johnston St
Rock Hill, SC 29730-3579

Phone

(330) 402-2144

NPI assigned

Jan 12, 2019

Last updated

Mar 4, 2019By 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

Credentials

Doctor of Philosophy

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.

• Koi Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Hill, SC
  • NPI 1215495759
  NPD Authorized official

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1457825473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HUMMINGBIRD CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152191",
            "telephone_number": "330-402-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "330-402-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosyln Mahelle Jones
• Sean P Jones, PHARM.D.
• Shatara Jones
• Toni Jones
• Christy Jordan
• Arun Joseph, M.D.
• Gregory Joseph
• Simy Vallikattukuzhiyil Joseph
• Donetta Josey, RBT
• Journey Home Birth Services LLC

• Mental Health Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.