NPIMap

Organization Active NPI

Janell Lafaye Jordan

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1528508330
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10855 Issued in NC
Legal business name
JANELL LAFAYE JORDAN
Practice address
5354 Villas Dr
Winston Salem, NC 27103-6462
Phone
(336) 971-4866
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Janell Lafaye Jordan, LPC
Title
Owner/Operator
Phone
(336) 971-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 10855 NC Primary

Addresses

Primary practice location

5354 Villas Dr
Winston Salem, NC 27103-6462

Mailing address

5354 Villas Dr
Winston Salem, NC 27103-6462
Phone (336) 971-4866

Other names 1

  • Salem Mental Health Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1528508330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 VILLAS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036462",
            "telephone_number": "336-971-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 VILLAS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036462",
            "telephone_number": "336-971-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANELL LAFAYE JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "LAFAYE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-971-4866",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Mental Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.