Antoinette Jordan, MS, MED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

793 Old Route 119 Highway North
Indiana, PA 15701-6826

Phone

(724) 465-5576

NPI assigned

Mar 13, 2018

Last updated

Jul 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: antoinette.m.jordan@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Generation Gerannamo

  dba Generation Gerannamo inc.

  • Home Health Agency
  • Brentwood, NY
  • NPI 1124678727

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1659874915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HIGHWAY NORTH",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016826",
            "telephone_number": "724-465-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HIGHWAY NORTH",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016826",
            "telephone_number": "724-465-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah V Johnson
• Madaline Johnston, PA-C
• Michele J Johnston, CRNA
• Laura Katherine Jones, MED.
• Lindsey Nicole Jones, BS
• Joseph D Conti, MD, LLC
• Joseph E Ambrose DO
• Joseph Lamantia, DO PC
• Joseph Rezk (Rezk Medical Supply)
• Jrainternationalllc

• Mental Health Counselor in Indiana, PA
• Providers in Indiana, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.