JORDAN THOMPSON (NPI# 1174161889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161889 |
| Entity Type | Individual |
| Full Name | JORDAN THOMPSON |
| Credential | B.A. |
| Practice Address |
1225 W Beaver St Ste 205 Jacksonville FL 32204-1416 |
| Practice Telephone | 9047123540 |
| Practice Fax Number | 9047753570 |
| Mailing Telephone | 9047123540 |
| Mailing Fax Number | 9047753570 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1992174841 | Jordan Thompson | Specialist/Technologist | 203 Lind St, Faribault, MN 55021-6220 | 2015-09-22 |
| 1386251528 | Jordan Thompson | Occupational Therapist | 220 N 1st St, Wheeling, IL 60090-2980 | 2020-09-30 |
| 1063028892 | Jordan Irene Thompson | Pharmacist | 15141 Whittier Blvd Ste 260, Whittier, CA 90603-2175 | 2020-09-17 |
| 1982224093 | Jordan Andrew Thompson | Pharmacist | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-18 |
| 1518595685 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1073070751 | Jordan Kyle Thompson | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-02-28 |
| 1750853925 | Jordan Ann Thompson | Behavior Technician | 143 Sugar Mill Cir, Savannah, GA 31419-9431 | 2018-12-27 |
| 1508389743 | Jordan R Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-19 |
| 1073049920 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, Department of Medicine, Mt. Sinai St Lukes-roosevelt, New York, NY 10025-1716 | 2017-05-11 |
| Street Address |
1225 W BEAVER ST STE 205 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1205474913 | Erika Wynn | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-12-12 |
| 1972159622 | Inspire Me Partners, Inc. | Home Health Aide | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-08-16 |
| 1821643149 | Dakota Anne Mackenzie Upp | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-08-04 |
| 1427603745 | Skylar Tanice Brown | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-08-04 |
| 1366007098 | Samia Jackson | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-05-08 |
| 1740740216 | Antwan Nicholas | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-03-21 |
| 1316410509 | Marcia King Howell | Social Worker | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2019-01-10 |
| 1811492374 | Rebecca Gauntlett | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2018-03-27 |
| 1538676630 | Stephanie N. Smith | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204-1416 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| 1336580042 | Joel Rivera | Pharmacist | 1 Schircliff Way, Jacksonville, FL 32204 | 2013-07-10 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.