Active NPI
Angela Jordan
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1487528667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT5068
- Practice address
- 3502 Henderson Blvd Ste 208
Tampa, FL 33609-3900 - Phone
- (813) 331-5250
- NPI assigned
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT5068 | FL | Primary |
Addresses
Primary practice location
3502 Henderson Blvd Ste 208
Tampa, FL 33609-3900
Mailing address
211 E Jean St
Tampa, FL 33604-6734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT5068 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1487528667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E JEAN ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 HENDERSON BLVD STE 208",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093900",
"telephone_number": "813-331-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-24",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT5068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.