William C Jordan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006569 Issued in GA

Practice address

108 E 5TH Ave Ste B
Rome, GA 30161-3128

Phone

(706) 509-0130

NPI assigned

Aug 10, 2006

Sex

Male

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jordan Counseling

  • Professional Counselor
  • Piedmont, AL
  • NPI 1053903120
  Medicare reassignment NPD Authorized official
• Balanced Living Counseling Center

  • Mental Health Counselor
  • Rome, GA
  • NPI 1033656731
  NPD
• Garrett Counseling and Consulting

  • Professional Counselor
  • Jacksonville, AL
  • NPI 1295000503
  NPD (past)
• Jacksonville Internal Medicine

  • Internal Medicine Physician
  • Jacksonville, AL
  • NPI 1811066103
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1720099518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655162",
            "telephone_number": "256-239-5662",
            "fax_number": "256-217-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 5TH AVE STE B",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613128",
            "telephone_number": "706-509-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Jackson Way SW",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362654306",
            "country_code": "US",
            "telephone_number": "256-239-5662",
            "fax_number": "256-217-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2879",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joint Spine& Disc Associates, LLC
• Dustin Thomas Jones, NP-C
• Kenneth Tyrone Jones Jr.
• Zachary Beau Jones, PA-C
• Malinda Jean Jordan, RD, LD
• Alona Joseph, LPC
• Joy Pediatric,LLC
• Dallin Judd
• Nathan Parish Judge, MD
• Racquel Kaizer, MD

• Mental Health Counselor in Rome, GA
• Providers in Rome, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.