Organization Active NPI

Cunningham & Jordan Counseling Associates

  • Clinical Social Worker
  • Fairview Park, OH
National Provider Identifier
1669643268
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009562 Issued in OH
Legal business name
CUNNINGHAM & JORDAN COUNSELING ASSOCIATES
Practice address
20939 Lorain Rd
Suite 8
Fairview Park, OH 44126-2022
Phone
(440) 331-2010
Fax
(440) 331-2052
NPI assigned
Mar 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

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

Authorized official

Name
Kristine M Jordan, LISWNPI 1609092006
Title
Ceo
Phone
(440) 331-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0009562 OH Primary

Addresses

Primary practice location

20939 Lorain Rd
Suite 8
Fairview Park, OH 44126-2022

Mailing address

20939 Lorain Rd
Suite 8
Fairview Park, OH 44126-2022
Phone (440) 331-2010

National Provider Directory

National Provider Directory

Locations

20939 Lorain Rd
Ste 8
Fairview Park, OH 44126
Phone (440) 213-3623

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206144000000",
    "number": "1669643268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20939 LORAIN RD",
            "address_2": "SUITE 8",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262022",
            "telephone_number": "440-331-2010",
            "fax_number": "440-331-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20939 LORAIN RD",
            "address_2": "SUITE 8",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262022",
            "telephone_number": "440-331-2010",
            "fax_number": "440-331-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM & JORDAN COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-331-2010",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0009562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; 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.