Jordan Warth, MS, NCC, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000500A Issued in IN

Practice address

1102 Fellows St
South Bend, IN 46601-3514

Phone

(574) 233-9491

Fax

(574) 233-9616

NPI assigned

Mar 29, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1750886842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 FELLOWS ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013514",
            "telephone_number": "574-233-9491",
            "fax_number": "574-233-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 FELLOWS ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013514",
            "telephone_number": "574-233-9491",
            "fax_number": "574-233-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTH",
        "first_name": "JORDAN",
        "credential": "MS, NCC, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000500A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Warmoth, STUDENT
• Gerald Warrell, D.D.S.
• Terryanah Aneice Warren
• William James Warrender, M.D.
• Mackenzie S Warrick, PA
• Thomas B Was, LMHC
• Barbara A Wascisin Hernly, LSW
• Cassandra Washington
• Jerica Washington, RBT
• Yolanda Gelaine Washington, RN

• Mental Health Counselor in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.