Nodelman Counseling & Psychotherapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NODELMAN COUNSELING & PSYCHOTHERAPY, LLC

Practice address

1881 NE 26TH St Ste 212F
Wilton Manors, FL 33305-1400

Phone

(754) 946-6600

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jordan Nodelman, MSW, LCSWNPI 1770049116

Title

Owner

Phone

(754) 300-6990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Matthew Nodelman, LCSW, LICSW, BCD

  • Clinical Social Worker
  • Wilton Manors, FL
  • NPI 1770049116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1770161408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 CORDOVA RD # 152",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 212F",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051400",
            "telephone_number": "754-946-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODELMAN COUNSELING & PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "NODELMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-300-6990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Journey Chiropractor and Wellness LLC
• Doris B Newman, D.O.
• Louis M Newman, DPM
• Rigoberto NG, RD, LD, CNSC
• Cheryl Niblo
• Jordan Matthew Nodelman, LCSW, LICSW, BCD
• North Broward Hospital District
• Nova Southeastern University
• Nova Southeastern University, Inc.
• Ellyn Okrent, LCSW

• Adult Mental Health Clinic/Center in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.