Active NPI
Susan Elizabeth Jordan, MA, LPC
- Professional Counselor
- Edmond, OK
National Provider Identifier
1932390812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3865
- Practice address
- 2500 S Broadway
Suite 300
Edmond, OK 73013-4038 - Phone
- (405) 314-8463
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3865 | OK | Primary |
Addresses
Primary practice location
2500 S Broadway
Suite 300
Edmond, OK 73013-4038
Mailing address
2500 S Broadway
Suite 300
Edmond, OK 73013-4038
Phone (405) 314-8463
Other names 1
- Susan Elizabeth King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1932390812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S BROADWAY",
"address_2": "SUITE 300",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134038",
"telephone_number": "405-314-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S BROADWAY",
"address_2": "SUITE 300",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134038",
"telephone_number": "405-314-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "KING",
"middle_name": "ELIZABETH",
"credential": "MA, LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.