Sheri Rae Jordan, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0155671 Issued in NM

Practice address

313 W Apache St
Farmington, NM 87401-5835

Phone

(505) 325-5321

NPI assigned

Dec 31, 2012

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

Other names 1

• Sheri Rae Tullis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Choices Behavioral Health Services, Inc.

  dba Choices Counseling Service

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, NM
  • NPI 1134194483
  NPD
• Childhaven, Inc

  • Foster Care Agency
  • Farmington, NM
  • NPI 1144303074
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1952647562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-402-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-325-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 W Apache St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-402-8291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 W Apache St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015527",
            "country_code": "US",
            "telephone_number": "505-402-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHERI",
        "middle_name": "RAE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0155671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "TULLIS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Owen Jones, MD
• Laurens Whipple Jones III, LMT
• Leonard Lendell Jones
• Tara Jones
• Timothy Andrew Jones, M.A., CCC-A
• Joshua Vanbuskirk DC PC
• Deborah A Joslin
• Randall Joslin
• Shardai Lenae Jridi, LCSW
• Jimmy Juarez, CPSW

• Mental Health Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.