MRS. JORDAN PARK (NPI# 1508363680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363680 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN PARK |
| Credential | LMFT-C |
| Practice Address |
4334 Nw Expressway Ste 101 Oklahoma City OK 73116-1515 |
| Practice Telephone | 4058414800 |
| Practice Fax Number | 4058414803 |
| Mailing Telephone | 4058414800 |
| Mailing Fax Number | 4058414803 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546870 | Jordan Marie Park | Dietitian, Registered | 273 Clark Ave, Branford, CT 06405-4703 | 2018-01-30 |
| Street Address |
4334 NW EXPRESSWAY STE 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609115914 | Heather Kristine Warfield | Marriage & Family Therapist | 4334 Nw Expressway Ste 101, Oklahoma City, OK 73116-1515 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| 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 |
|---|---|---|---|---|
| 1952914319 | Jason Odegaard | Marriage & Family Therapist | 9900 Broadway Ext Ste 100, Oklahoma City, OK 73114-6323 | 2020-08-26 |
| 1215491758 | Jeanine Ridener | Marriage & Family Therapist | 9212 N Kelley Ave Ste 200, Oklahoma City, OK 73131-2419 | 2019-01-29 |
| 1497221634 | Kelsie Ann Krupitzer | Marriage & Family Therapist | 709 Sw 119th St Ste B, Oklahoma City, OK 73170-6080 | 2018-10-15 |
| 1518487438 | Melissa Lynne Dodson | Marriage & Family Therapist | 318 Nw 13th St, Oklahoma City, OK 73103-3709 | 2017-06-21 |
| 1063958189 | Intune Mother, LLC | Marriage & Family Therapist | 432 Nw 11th St, Oklahoma City, OK 73103-3914 | 2017-01-12 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1770960924 | Lisa D Roddy | Marriage & Family Therapist | 13001 Tamace Dr, Oklahoma City, OK 73170-6601 | 2015-04-27 |
| 1003208919 | James Perry | Marriage & Family Therapist | 3437 Nw 20th St, Oklahoma City, OK 73107-3007 | 2015-03-02 |
| 1164825329 | Melissa M Paxton | Marriage & Family Therapist | 3035 Nw 63rd St Ste 202, Oklahoma City, OK 73116-3606 | 2014-10-02 |
| 1245640663 | Gabe Yandell Pllc | Marriage & Family Therapist | 10400 N Vineyard Blvd, Suite A, Oklahoma City, OK 73120 | 2014-05-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on MRS. JORDAN PARK.
| 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.