Active NPI
Caitlin Jordan
- Mental Health Counselor
- Liberty, MO
National Provider Identifier
1649751967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2010041801
- Practice address
- 32 Westwoods Dr
Liberty, MO 64068-3519 - Phone
- (913) 991-1857
- NPI assigned
- Aug 24, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2010041801 | MO | Primary |
Addresses
Primary practice location
32 Westwoods Dr
Liberty, MO 64068-3519
Mailing address
1320 NE Parvin Rd Apt 205
Kansas City, MO 64116-5019
Phone (913) 991-1857
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 |
|---|---|---|---|
| 2010041801 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1649751967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 NE PARVIN RD APT 205",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641165019",
"telephone_number": "913-991-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683519",
"telephone_number": "913-991-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2010041801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.