Suzanne Renee Jordan

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1212 E Kirk St
Hugo, OK 74743-3607

Phone

(580) 326-5279

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By 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

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

• Healing Hearts Counseling & Consulting, L.L.C.

  • Adult Mental Health Clinic/Center
  • Hugo, OK
  • NPI 1144739657
  NPD

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1871297341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CLAYTON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747432803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E KIRK ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433607",
            "telephone_number": "580-326-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SUZANNE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Jones, MSW, LCSW
• Tonya Sherree Jones
• Jan Jordan
• Judy Jordan
• Lindsey Jordan
• Freddy J Kemp
• Jori Ketchum
• Lucas Christian Keyes, PHARM.D.
• Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc. (Kiamichi Council Hugo)
• Kiamichi Family Medical Center, Inc

• Peer Specialist in Hugo, OK
• Providers in Hugo, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.