Jennifer Gordon Jordan, ED.D., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009239 Issued in GA

Practice address

1414 Dug Gap Rd
Dalton, GA 30720-5007

Phone

(706) 279-0405

NPI assigned

Apr 3, 2018

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

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 and Children First LLC

  dba Georgia HOPE

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1770627515
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1881190437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 LAKEVIEW PKWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807824",
            "telephone_number": "706-217-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205007",
            "telephone_number": "706-279-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joint Regeneration of Dalton
• Carrie Anne Jones
• Heather Michelle Jones, PHARMD
• Lonja Jones, LPC
• Nadia Elizabeth Jones, LMT, CCT
• Rita Eleanor H. Jordan, PT
• Soo Hyun Jun
• David Hyunwoo Jung
• David Junn, DDS,MS
• K -VA -T Food Stores Inc (Food City Pharmacy #211)

• Mental Health Counselor in Dalton, GA
• Providers in Dalton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.