TIFFANY JORDAN (NPI# 1154748747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154748747 |
| Entity Type | Individual |
| Full Name | TIFFANY JORDAN |
| Credential | LCPC |
| Practice Address |
6615 N Big Hollow Rd Peoria IL 61615 |
| Mailing Address |
6615 N Big Hollow Rd Peoria IL 61615-2450 |
| Practice Telephone | 3096926622 |
| Practice Fax Number | 3096926952 |
| Mailing Telephone | 3096926622 |
| Mailing Fax Number | 3096926952 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180.009045 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
180009045 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290317 | Tiffany Lynn Jordan | Registered Nurse | 3443 Beaumont Dr, Toledo, OH 43608-1610 | 2010-07-23 |
| 1497233233 | Tiffany Jordan | Community Health Worker | 1569 State Route 28, Loveland, OH 45140-6086 | 2018-08-03 |
| 1992136246 | Tiffany Jordan | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-12-11 |
| 1275779423 | Tiffany Nichol Jordan | Nurse Practitioner | 2120 S Mcclintock Dr, Ste 105, Tempe, AZ 85282-2692 | 2008-12-17 |
| 1407072341 | Tiffany B Jordan | Preventive Medicine | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-04-18 |
| 1619008489 | Tiffany Marie Jordan | Counselor | 940 Avenue 64, Pasadena, CA 91105-2711 | 2007-03-07 |
| Street Address |
6615 N BIG HOLLOW RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358911 | Penelope A Ewbank | Allergy & Immunology | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2005-09-30 |
| 1659886877 | Abby Lynn Mitchell | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2017-12-11 |
| 1043632524 | Kevin Siscoe | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2014-01-17 |
| 1205127784 | Barbara L Toohill | Psychologist | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2011-05-02 |
| 1336453364 | Trinity Hope Maston | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2010-08-02 |
| 1194973404 | Maggie Classen | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2008-08-29 |
| 1093932295 | Donna Sue Wasson | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2007-04-19 |
| 1417053612 | Edgar Kobel Wolgamot IIi | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-15 |
| 1992808554 | Amy E Forsberg | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-07 |
| 1538262191 | Gayle Vincent Callahan | Psychologist | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863628 | Az Synergy Counseling, LLC | Counselor | 20835 N 98th Ave, Peoria, AZ 85382-5100 | 2020-05-21 |
| 1689201584 | Denise Zadwarny | Counselor | 8538 W Lawrence Ln, Peoria, AZ 85345-2537 | 2020-03-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1952756199 | Bethany Rosenfeld | Counselor | 13460 N 94th Dr Ste K3, Peoria, AZ 85381-4249 | 2016-04-25 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1326476482 | Melissa A Shane | Counselor | 3020 W. Willow Knolls Drive, Peoria, IL 61614-1002 | 2013-10-28 |
| 1538400197 | Lindsy Redman | Counselor | 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 | 2013-03-07 |
| 1225398415 | Curt Meiss | Counselor | 914 W Glen Ave Ste 3, Peoria, IL 61614-4886 | 2012-05-21 |
| 1912204066 | Susan J Luiten | Counselor | 7031 N Patton Ln, Peoria, IL 61614-1918 | 2011-02-24 |
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| Find all providers in PEORIA | ||||
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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.