Active NPI
Nycole Sherice Jordan, ALC
- Counselor
- Mobile, AL
National Provider Identifier
1609592997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC03224
- Practice address
- 600 Bel Air Blvd Ste 128
Mobile, AL 36606-3501 - Phone
- (251) 321-2013
- NPI assigned
- Oct 18, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC03224 | AL | Primary |
Addresses
Primary practice location
600 Bel Air Blvd Ste 128
Mobile, AL 36606-3501
Mailing address
PO Box 9031
Mobile, AL 36691-0031
Phone (251) 321-2013
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 |
|---|---|---|---|
| ALC03224 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1609592997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9031",
"city": "MOBILE",
"state": "AL",
"postal_code": "366910031",
"telephone_number": "251-321-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BEL AIR BLVD STE 128",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063501",
"telephone_number": "251-321-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "NYCOLE",
"middle_name": "SHERICE",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC03224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.