Nadine Jordan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00459900 Issued in NJ

Practice address

19 Winona Ave
Lincoln Park, NJ 07035-1711

Phone

(973) 449-7260

NPI assigned

Jan 31, 2014

Sex

Female

Sole proprietor

No

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

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

• CP Counseling Services, LLC

  • PACE Provider Organization
  • Lincoln Park, NJ
  • NPI 1063819449
  NPD (past) Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1477976124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WINONA AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351711",
            "telephone_number": "973-449-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WINONA AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351711",
            "telephone_number": "973-449-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NADINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00459900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas S Iulo, DMD
• Suby Jacob, RPH
• Suhail S Jarroush, PHD, DCH
• Jeffrey M Falduto DMD Dental Practice LLC
• Joel G. Fischgrund M.D.P.a.
• William M Kaplan, D.M.D.
• Mark L Kavanagh, MD
• Derya Elif Kayat
• Tatia Khardziani
• Adrianna Komeshok, APN-ADULT NP

• Professional Counselor in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.