Michelle M Jordan, MC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1109 W Euclid Ave
Deland, FL 32720-6553

Phone

(386) 943-9030

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunshyne Counseling, PLLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1801463179
  NPD Authorized official
• Saafe Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1154757557
  NPD (past)
• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1730726654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206553",
            "telephone_number": "386-943-9040",
            "fax_number": "386-943-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206553",
            "telephone_number": "386-943-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH19281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Jones
• Kristina M Jones, M.A.
• Melodye Jones, ARNP
• Jordan Clinic Spas LLC
• Christopher W Jordan, D.C
• David Joseph
• Ben Ju, M.D.
• Monica Rani Julapelly
• Kristen Ann Juliano
• Zahid Juma, D.D.S.

• Mental Health Counselor in Deland, FL
• Providers in Deland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.