Amy Jordan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH10299 Issued in FL

Practice address

6767 N Wickham Rd Ste 400D
Melbourne, FL 32940-2025

Phone

(321) 698-4011

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Brevard Counseling, LLC

  • Community/Behavioral Health Agency
  • Merritt Island, FL
  • NPI 1336507268
  NPD (past)

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1801224787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 N WICKHAM RD STE 400D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402025",
            "telephone_number": "321-698-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N WICKHAM RD STE 400D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402025",
            "telephone_number": "321-698-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AMY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon F Jones, PH.D.
• Terrance Tarik Jones
• Thomas David Jones Jr., MSW, LCSW
• Wilma Lee Jones, ARNP
• Jordan Robbins DMD PA
• Catharina Ann Jordan
• Eric A Jordan, PA
• Julie K Jordan, LMHC
• Megan Lynn Jordan, DNP APRN PMHNP-BC
• Breanna Paige Jorgensen, RBT

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, 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 Nov 12, 2020; 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.