Active NPI
Angela Jordan, LMHC
- Counselor
- Muncie, IN
National Provider Identifier
1831882067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39002690A
- Practice address
- 514 S Gharkey St
Muncie, IN 47305-2241 - Phone
- (765) 717-4161
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39002690A | IN | Primary |
Addresses
Primary practice location
514 S Gharkey St
Muncie, IN 47305-2241
Mailing address
PO Box 336
Muncie, IN 47308-0336
Phone (765) 717-4161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002690A | IN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Pathways Counseling and Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Positive Pathways
- Mental Health Counselor
- Carmel, IN
- NPI 1467761296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1831882067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 336",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473080336",
"telephone_number": "765-717-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S GHARKEY ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473052241",
"telephone_number": "765-717-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "ANGELA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "39002690A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.