Unique Jordan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006636 Issued in VA

Practice address

11215 Georgia Ave Apt 1038
Silver Spring, MD 20902-7653

Phone

(773) 366-1956

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Unique Perspective LLC

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1306412473
  NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1821610502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 GEORGIA AVE APT 1038",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209027653",
            "telephone_number": "773-366-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 GEORGIA AVE APT 1038",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209027653",
            "telephone_number": "773-366-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "UNIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Swallowing Rehab, LLC
• Diana Jordan
• Jason Thomas Jordan, BEHAVIOR TECHNICIAN
• Laura Jordan, DDS
• Toupazer Jordan, CCC-SLP
• Victoria Lynn Jordan, M.A., CF-SLP
• Jose F. Bonelli, M.D.P.C.
• Joseph Baptiste Dental Clinic
• Joseph Snyder ,M.D., P.a.
• Anna Stacia Electra Joseph

• Mental Health Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.