Crystal Jordan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

21621 Merchants Way Ste 307
Katy, TX 77449-7342

Phone

(321) 917-9192

NPI assigned

Jun 13, 2020

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

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.

• Aea Avenues Inc

  • Community/Behavioral Health Agency
  • Katy, TX
  • NPI 1215749924
  NPD Authorized official

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1568087724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21621 MERCHANTS WAY STE 307",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497342",
            "telephone_number": "321-917-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21621 MERCHANTS WAY STE 307",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497342",
            "telephone_number": "321-917-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Patrick St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415534",
            "country_code": "US",
            "telephone_number": "321-261-4581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Florida Ave Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338445049",
            "country_code": "US",
            "telephone_number": "321-917-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelisa Jones
• Wesley Harris Jones, MD
• Xavien Jones
• Michelle Anahi Jonguitud Jr.
• Jordan Ranch Modern Dentistry, PC
• Marikate Elaine Jordan, SLP ASSISTANT
• Renee Jordan
• Taylor Jordan, DDS
• Jorge a Marquis DDS PA
• Kathryn Ann Jorgensen, CRNP

• Behavior Technician in Katy, TX
• Providers in Katy, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.