James B Jordan, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0108141 Issued in NM

Practice address

453 Cerrillos Rd Ste E
Santa Fe, NM 87501-3784

Phone

(505) 699-6440

Fax

(505) 699-6440

NPI assigned

Jul 7, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. James B Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598928889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 CERRILLOS RD., BLDG. E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "505-699-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 CERRILLOS RD STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013784",
            "telephone_number": "505-699-6440",
            "fax_number": "505-699-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Carlito Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875088784",
            "country_code": "US",
            "telephone_number": "505-699-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0108141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33552070",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "JORDAN",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PH.D., LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shawna Jones
• Tearle Jones
• Valerie Jones
• Zane Jones
• Brooke Jordan
• Laura Jordan, RYT500
• Jose R. Reyna, Jr., M.D., P.a.
• Dana Grace Jose
• Joseph M Molina MD Professional Corporation - Southern California Moli (Molina Medical Group of Southern California)
• Joseph M Molina MD Professional Corporation-Southern California (Molina Medical Group of Southern CA)

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.