NICOLE JORDAN (NPI# 1093157661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093157661 |
| Entity Type | Individual |
| Full Name | NICOLE JORDAN |
| Credential | L.M.H.C |
| Practice Address |
8 Shore Dr Canton MA 02021-2652 |
| Practice Telephone | 3392063403 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8162 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996413 | Nicole Jordan | Social Worker | 388 Evans St Fl 1, Buffalo, NY 14221-5626 | 2016-12-10 |
| 1154863702 | Nicole Jordan | Licensed Practical Nurse | 478 Lexington Ave, Rochester, NY 14613-1943 | 2016-11-14 |
| 1770933095 | Nicole M Jordan | Counselor | 410 E Grandview Ave # A-2, Zelienople, PA 16063-1211 | 2016-06-17 |
| 1588158794 | Nicole Jordan | Assistant Behavior Analyst | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240 | 2018-06-20 |
| 1306358015 | Nicole C Jordan | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1801342423 | Nicole Jordan | Audiologist-Hearing Aid Fitter | 2452 Watson Ct, #1700, Palo Alto, CA 94303 | 2016-09-01 |
| 1528438769 | Nicole Michelle Jordan | Social Worker | 1350 41st Ave, Suite 201, Capitola, CA 95010-3906 | 2015-09-30 |
| 1013304989 | Nicole Jordan | Internal Medicine | 7600 River Rd, North Bergen, NJ 07047-6217 | 2015-04-18 |
| 1215288162 | Nicole Elizabeth Jordan | Speech-Language Pathologist | 104 Stampede St, Newcastle, WY 82701-3037 | 2012-10-01 |
| 1720374713 | Nicole Elizabeth Jordan | Nurse Practitioner | 83 Columbia St, Orlando, FL 32806-1106 | 2011-06-28 |
| Street Address |
8 SHORE DR |
| City | CANTON |
| State | MA |
| Zip Code | 02021-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1134736739 | Janice Marie Mccarthy | Counselor | 12 Old Meadow Ln, Canton, MA 02021-2103 | 2020-09-28 |
| 1497374656 | Brandi Smallwood | Counselor | 147 Clifford Ct, Canton, GA 30115-9336 | 2020-04-08 |
| 1194365098 | Madyna Rancifer | Counselor | 18 Bailey Ct Apt F, Canton, MA 02021-3939 | 2020-01-09 |
| 1942847884 | Joseph Anthony Ashley | Counselor | 3805 Woodland Ave Nw, Canton, OH 44709-2533 | 2019-12-10 |
| 1679117386 | Darryl Wayne Peterson II | Counselor | 3040 Wicker St Ne, Canton, OH 44721-2298 | 2019-11-05 |
| 1376187500 | Breaking Barriers - Hope Is Alive | Counselor | 1920 Schneider St Ne, Canton, OH 44721-3352 | 2019-10-31 |
| 1518529247 | Claude Melbern Aldous | Counselor | 2746 State Highway 68, Canton, NY 13617-3842 | 2019-07-02 |
| 1255834412 | Gorrell Counseling LLC | Counselor | 4501 Hills and Dales Rd Nw Ste 202, Canton, OH 44708-1572 | 2018-03-14 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.