Jordan Barnhill Holloran, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.104029 Issued in IL

Practice address

1800 Ravinia PL
Orland Park, IL 60462-3761

Phone

(708) 403-7570

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emotion Management Program LLC

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1083780522
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1629611728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623761",
            "telephone_number": "708-403-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623761",
            "telephone_number": "708-403-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Ogden Ave Ste 128",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213665",
            "country_code": "US",
            "telephone_number": "708-403-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLORAN",
        "first_name": "JORDAN",
        "middle_name": "BARNHILL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "150.104029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Stephen Holba, D.D.S10
• Alexandra Holdefer, LCSW, CADC
• Rudi Holland, OTR
• Joshua Raphael Hollie, BEHAVIOR ANALYST
• India Hollinquest, MSN, APRN, FNP-BC
• Tiffany Holloway-Simpson, PTA
• Brianne Holmes, D.C.
• Eugene Paul Holmes, PSY.D.
• Home Health Advantage, Inc.
• Home Health Advantage, Inc.

• Social Worker in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.