James R Jordan Ms, NCC, Licensed Mental Health Counselor, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004425 Issued in NY

Legal business name

JAMES R JORDAN MS, NCC, LICENSED MENTAL HEALTH COUNSELOR, PLLC

Practice address

595 Route 25a
Suite #15
Miller Place, NY 11764-2646

Phone

(631) 786-0842

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. James Raymond Jordan, MS, NCC, LMHCNPI 1023397387

Title

Owner

Phone

(631) 786-0842

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Raymond Jordan, MS, NCC, LMHC,DCC

  • Addiction (Substance Use Disorder) Counselor
  • Miller Place, NY
  • NPI 1023397387
  NPD (past) Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1922340785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119530063",
            "telephone_number": "631-786-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "address_2": "SUITE #15",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642646",
            "telephone_number": "631-786-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R JORDAN MS, NCC, LICENSED MENTAL HEALTH COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-786-0842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, NCC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Ianniello, D.C.
• Ilene a. Brickley, PLLC
• Interbeing Wellness LCSW PLLC
• Lissette Anne Ippolito, LPN
• Nusrat Jahan, OD
• Elzbieta Jaromin
• JJR Lifecare Inc
• Erin Johnson, PTA
• Joan Jones, R.N.
• James Raymond Jordan, MS, NCC, LMHC,DCC

• Mental Health Counselor in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.