JORDAN LANDERMAN (NPI# 1316468648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316468648 |
| Entity Type | Individual |
| Full Name | JORDAN LANDERMAN |
| Practice Address |
5559 Raiders Road Frazeysburg OH 43822 |
| Practice Telephone | 7408282498 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
5559 RAIDERS ROAD |
| City | FRAZEYSBURG |
| State | OH |
| Zip Code | 43822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468655 | Kayla Spratt | Technician, Health Information | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-27 |
| 1003328626 | Roy D Kimble | Licensed Practical Nurse | 5559 Raiders Road, Frazeysburg, OH 43822-4382 | 2017-11-05 |
| 1558880732 | Lynn Bachmann | Counselor | 5559 Raiders Road, Frazeysburg, OH 43722 | 2017-09-19 |
| 1437678620 | Patricia Ward | Case Manager/Care Coordinator | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-09-19 |
| 1013438126 | Jaclynn Sullivan | Licensed Practical Nurse | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-28 |
| 1477074763 | Alissa Novaria | Counselor | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-28 |
| 1659892917 | Karen Mcnabb | Counselor | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-27 |
| 1194246447 | Dawn Mitchell | Case Management | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-27 |
| 1790206027 | Tracey Sowers | Registered Nurse | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206639 | Ildea Marshall | Case Management | 5559 Raider Road, Freysburg, OH 43822 | 2017-06-30 |
| 1922335397 | Mary Beth Reiss | Registered Nurse | 8435 Ashcraft Rd, Frazeysburg, OH 43822-9369 | 2009-11-05 |
| 1083896872 | Annette Cleveland | Registered Nurse | 18902 Odell Rd, Frazeysburg, OH 43822-9429 | 2007-12-04 |
| 1477079226 | Lisa West | Social Worker | 5559 Raiders Rd, Frazeysburg, OH 43822-9431 | 2017-08-14 |
| 1831210178 | Michelle Renee Barcelona | Nurse Practitioner | 5563 Raiders Rd Bldg A, Frazeysburg, OH 43822-9431 | 2007-04-03 |
| 1215062955 | Heidi Ann Buckley | Nurse Practitioner | 5563 Raiders Rd, Frazeysburg, OH 43822-9431 | 2007-02-22 |
| 1053809087 | Amber Rogers | Registered Nurse | 5559 Raiders Rd, Frazeysburg, OH 43822-9431 | 2018-04-25 |
| 1528285764 | Tami Sue Lawrence | Licensed Practical Nurse | 11024 Pleasant Valley Rd, Frazeysburg, OH 43822-9507 | 2007-04-19 |
| 1326078197 | Wanda Ruth Jarvis | Licensed Practical Nurse | 14887 Willey Rd, Frazeysburg, OH 43822-9508 | 2006-07-04 |
| 1427460203 | Loretta Noblick | Registered Nurse | 18587 Mcdonald Rd, Frazeysburg, OH 43822-9541 | 2014-05-28 |
| Find all providers in zip 43822 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880732 | Lynn Bachmann | Counselor | 5559 Raiders Road, Frazeysburg, OH 43722 | 2017-09-19 |
| 1477074763 | Alissa Novaria | Counselor | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-28 |
| 1659892917 | Karen Mcnabb | Counselor | 5559 Raiders Road, Frazeysburg, OH 43822 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | FRAZEYSBURG |
| Zip Code | 43822 |
Please comment or provide details below to improve the information on JORDAN LANDERMAN.
| 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.