Active NPI
Jordan Edwards, LADC-US
- Counselor
- The Village, OK
National Provider Identifier
1689166365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2113 W Britton Rd
The Village, OK 73120-1505 - Phone
- (405) 840-9000
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2113 W Britton Rd
The Village, OK 73120-1505
Mailing address
2113 W Britton Rd
The Village, OK 73120-1505
Phone (405) 840-9000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Solutions of Oklahoma, LLC | Past | Accepting new patients | |
| A Chance to Change Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Oklahoma City, OK
- NPI 1326217795
-
- Community/Behavioral Health Agency
- Moore, OK
- NPI 1659855278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1689166365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 W BRITTON RD",
"city": "THE VILLAGE",
"state": "OK",
"postal_code": "731201505",
"telephone_number": "405-840-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 W BRITTON RD",
"city": "THE VILLAGE",
"state": "OK",
"postal_code": "731201505",
"telephone_number": "405-840-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JORDAN",
"credential": "LADC-US",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Village, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.