Monique Renee Jordan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60806253 Issued in WA

Practice address

1554 S Grant Ave
Tacoma, WA 98405-3250

Phone

(253) 365-3964

Fax

(888) 748-2797

NPI assigned

Nov 15, 2017

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

State licenses

Practice roles

Locations

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.

• Family Restoration & Empowerment Enterprises

  • Mental Health Counselor
  • Tacoma, WA
  • NPI 1174036099
  NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1831602598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 19TH STREET PL SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733953",
            "telephone_number": "253-365-3964",
            "fax_number": "888-748-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S GRANT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053250",
            "telephone_number": "253-365-3964",
            "fax_number": "888-748-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MONIQUE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60806253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inga Jordan, PT
• Kevin Mitchell Jordan, MD
• Korrinna Jordan
• Lataya C Jordan
• Megan Elizabeth Jordan, DPT
• Phyllis Lizetta Jordan, MHP
• Richard Allen Jordan, M.D.
• Michele Jorgensen, CCC-SLP
• Jorgenson Optical Supply
• Jonah Thomas Jorgenson

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.