Organization Active NPI

Jordan Counseling and Associates

  • Social Worker
  • Akron, OH
National Provider Identifier
1689934853
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I9562 Issued in OH
Legal business name
JORDAN COUNSELING AND ASSOCIATES
Practice address
2295 W Market St
Suite B
Akron, OH 44313-6944
Phone
(330) 835-9550
Fax
(330) 835-9552
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Kristine M Jordan, LISWS
Title
Owner
Phone
(216) 906-9333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E0002649 OH
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X I9562 OH Primary

Addresses

Primary practice location

2295 W Market St
Suite B
Akron, OH 44313-6944

Mailing address

2295 W Market St
Suite B
Akron, OH 44313-6944
Phone (330) 835-9550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1689934853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 W MARKET ST",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136944",
            "telephone_number": "330-835-9550",
            "fax_number": "330-835-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 W MARKET ST",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136944",
            "telephone_number": "330-835-9550",
            "fax_number": "330-835-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN COUNSELING AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-906-9333",
        "authorized_official_credential": "LISWS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002649",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I9562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.