Elizabeth Jordan-O'Donnell, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00759 Issued in MN

Practice address

10650 County Road 81
Suite 205
Maple Grove, MN 55369-4075

Phone

(763) 424-2100

NPI assigned

Sep 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Beth Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1760791248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694075",
            "telephone_number": "763-424-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694075",
            "telephone_number": "763-424-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-O'DONNELL",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303640",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "JORDAN",
            "prefix": "MS.",
            "credential": "M.A., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher James Jones, MD
• Elise Nicole Jones, DPT
• Lauren Riley Jones
• Mackenzie Nicole Jones, DPT
• Jordan Consulting and Counseling, LLC
• Carly Jordan, PHARMD
• Tricia Cassatt Jorgenson, RN, BSN, PHN
• Joseph J. Pietrafitta, M.D.,P.a.
• Kayla Joyer, FNP
• JS & Y Dedicated Health Care Services LLC

• Mental Health Counselor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.