KIMBERLY MICHELLE JORDAN (NPI# 1285873745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285873745 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE JORDAN |
| Credential | LADAC, LMFT, CPRP |
| Practice Address |
1215 New York Ave Alamogordo NM 88310-6727 |
| Practice Telephone | 5756498518 |
| Mailing Telephone | 5756498518 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
014701 | NM | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-J0811051803 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 0176661 | NM | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | 171007 | NM | Other Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 171007 | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285009548 | Kimberly Jordan | Social Worker | 3711 Delverne Rd, Baltimore, MD 21218-2126 | 2015-12-11 |
| 1659868396 | Kimberly Jordan | Case Manager/Care Coordinator | 729 6th St, Portsmouth, OH 45662-4030 | 2018-04-18 |
| 1134636053 | Kimberly Jordan | Pharmacist | 1601 Coalton Rd, Superior, CO 80027-4610 | 2017-12-30 |
| 1568977734 | Kimberly Jordan | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2017-12-08 |
| 1255869137 | Kimberly A. Jordan | Occupational Therapist | 820 Wellington Ave, Wilmington, NC 28401-7618 | 2017-05-23 |
| 1467986364 | Kimberly Jordan | Marriage & Family Therapist | 572 Dunholme Way, Sunnyvale, CA 94087-3300 | 2017-04-18 |
| 1508230988 | Kimberly Nacole Jordan | Occupational Therapist | 435 Pine St, Fort Deposit, AL 36032-4740 | 2015-11-22 |
| 1609111640 | Kimberly R Jordan | Dietitian, Registered | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2012-12-03 |
| 1801146147 | Kimberly W Jordan | Physical Therapist | 7430 Spring Village Dr, Springfield, VA 22150-4487 | 2012-09-13 |
| 1245403633 | Kimberly Marie Jordan | Audiologist | 1901 Veterans Memorial Dr, 112a, Temple, TX 76504-7451 | 2008-04-08 |
| Street Address |
1215 NEW YORK AVE |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083737415 | Jane R Butterworth | Marriage & Family Therapist | 1200 White Sands Blvd, 115, Alamogordo, NM 88310-6774 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538772 | Janita Randolph | Marriage & Family Therapist | 2325 Enzie Dr Apt 2, Las Cruces, NM 88001-5880 | 2020-11-02 |
| 1194336263 | Pathways Counseling, LLC | Marriage & Family Therapist | 1990 E Lohman Ave Ste 119, Las Cruces, NM 88001-3172 | 2020-08-12 |
| 1023654282 | Claudia David Wood | Marriage & Family Therapist | 1012 St Francis Lane, El Prado, NM 87529 | 2019-11-22 |
| 1265074777 | Mountain Crest Counseling, LLC | Marriage & Family Therapist | 16921 Highway 4, Jemez Springs, NM 87025-9453 | 2019-10-16 |
| 1275186983 | Stacy Anne Wyllie | Marriage & Family Therapist | 4436 Autumn Leaf Ln, Santa Fe, NM 87507-0828 | 2019-07-22 |
| 1225692650 | Karen Reeve | Marriage & Family Therapist | 5600 Eubank Blvd Ne Ste 150, Albuquerque, NM 87111-1555 | 2019-05-01 |
| 1386208437 | Starfish Counseling, LLC | Marriage & Family Therapist | 10433 Pamplona St Nw, Albuquerque, NM 87114-5607 | 2019-04-24 |
| 1346708120 | Frances Montano Thomaslee | Marriage & Family Therapist | 755 S Telshor Blvd Ste Q102, Las Cruces, NM 88011-4681 | 2019-03-11 |
| 1821561911 | Grace Therapy Services, LLC | Marriage & Family Therapist | 972 Villarrica St Nw, Albuquerque, NM 87120-2995 | 2019-01-10 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.