Jodi M Jordan, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW21363 Issued in FL

Practice address

7539 N Citrus Ave
Crystal River, FL 34428-6941

Phone

(352) 636-5729

NPI assigned

Apr 26, 2023

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

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1548958671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286941",
            "telephone_number": "352-636-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286941",
            "telephone_number": "352-636-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JODI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW21363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Grace MD PA
• Johnnie R Degraw Inc
• Renee Johnson, ARNP
• Susan Johnston, PHYSICAL THERAPIST
• Andrew J Jones, D.C.
• Jorge Ruiz Llanes MD PA
• Cherity Rarey Juergensmeyer, ARNP
• Vijayasekhara Reddy Kalakata, MD
• Patricia Glover Kallenbach, LMT
• George Kaplan, O.D.

• Mental Health Counselor in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.