Tina Marie Jordan, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0016372 Issued in CO

Practice address

6566 N Marksheffel Rd
Colorado Springs, CO 80923-4252

Phone

(719) 384-8700

NPI assigned

Mar 29, 2021

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)

Enrolled

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.

• Reeva Mental and Behavioral Health

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1487407847
  NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1982281481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6566 N MARKSHEFFEL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234252",
            "telephone_number": "719-384-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 N MARKSHEFFEL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234252",
            "telephone_number": "719-384-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7661 McLaughlin Rd # 415",
            "address_purpose": "LOCATION",
            "city": "Peyton",
            "state": "CO",
            "postal_code": "808314727",
            "country_code": "US",
            "telephone_number": "719-394-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermecia Alea Faye Jordan
• K'Mijah Jordan
• Kathryn L Jordan, RMT
• Malcolm Bernard Jordan
• Samantha M Jordan, P.A-C, MMS
• Torrie Jordan, LCSW
• William T. Jordeth, DDS
• Jordyn Lee Counseling LLC
• Christopher Jorgensen, M.D.
• Colin Todd Jorgensen, MD

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.