Angelica Jordan

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC012068 Issued in GA

Practice address

4570 Reese Rd # B
Columbus, GA 31907-1177

Phone

(706) 780-6497

NPI assigned

Mar 2, 2017

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

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.

• Refinery Counseling Services LLC

  • Mental Health Counselor
  • Columbus, GA
  • NPI 1093323305
  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1922548411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEPPERTREE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092642",
            "telephone_number": "706-584-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 REESE RD # B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071177",
            "telephone_number": "706-780-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lavonda Jones
• Tiffany Nicole Jones
• Vivian C. Jones, LPC
• Wesley Jones, MRP
• William D Jones Jr.
• Christine Jordan
• Clem Jordan
• Cynthia Jordan
• Hannah Lee Jordan, BCBA
• Holly Jordan, APRN

• Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.