Elizabeth Jordan, MMSC, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

70.000283 Issued in OH

Practice address

452 W 10TH Ave
Columbus, OH 43210-1240

Phone

(614) 293-7677

NPI assigned

Apr 12, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elizabeth Schmitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1902330483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W 12TH AVE RM 339",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102210",
            "telephone_number": "614-366-3597",
            "fax_number": "614-688-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ELIZABETH",
        "credential": "MMSC, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "KY",
            "license": "00000",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OH",
            "license": "70.000283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS1719300252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SCHMITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darci Elizabeth Jordan, LPCC
• Deanna Marie Jordan, RN
• Delicia Marlene Jordan
• Duncan Gage Jordan, PHD
• Edna Jordan
• Elizabeth Marie Jordan, MS, LPCC, CDCA
• Emma Jordan
• Ericka Jordan
• Jimena Alessandra Jordan
• John Jordan

• Genetic Counselor (M.S.) in Columbus, OH
• Providers in Columbus, OH by specialty
• Genetic Counselor (M.S.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.