KIERRA JORDAN (NPI# 1609321637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609321637 |
| Entity Type | Individual |
| Full Name | KIERRA JORDAN |
| Other Name | KIERRA WATKINS |
| Credential | LCPC |
| Practice Address |
2255 Crain Hwy Ste 102 Waldorf MD 20601 |
| Mailing Address |
1282 Smallwood Dr W Waldorf MD 20603-4732 |
| Practice Telephone | 3013639122 |
| Practice Fax Number | 3016375361 |
| Mailing Telephone | 3013639122 |
| Mailing Fax Number | 3016375361 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC7050 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4710 Auth Pl Ste 690, Camp Springs, MD 207464208 | 3014230967 | |
| 501 Hampton Park Blvd, Capitol Heights, MD 207433802 | 3013242837 |
| Street Address |
2255 CRAIN HWY STE 102 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814125 | Diversified Lifestyle Services | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601-3186 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| 1073610127 | Asthma Allergy and Sinus Center, LLC | Clinic/Center | 3600 Leonardtown Road, Suite 103, Waldorf, MD 20601 | 2006-09-20 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279897 | Mary Chinedu Mpi | Counselor | 2187 Forman Ct, Waldorf, MD 20601-5607 | 2020-09-14 |
| 1043833874 | Anthony Bernard Pinkney | Counselor | 3408 Williamsburg Dr, Waldorf, MD 20601-3011 | 2020-05-27 |
| 1497390058 | Bailey, Cross & Davis LLC | Counselor | 2670 Crain Hwy Ste 510, Waldorf, MD 20601-2819 | 2019-11-07 |
| 1578124178 | Baltimore Area Community Health Services LLC | Counselor | 2255 Crain Hwy Ste 106, Waldorf, MD 20601-3186 | 2019-06-25 |
| 1275198475 | H.o.p.e Behavioral Health | Counselor | 3261 Old Washington Rd Ste 3021, Waldorf, MD 20602-3229 | 2019-05-03 |
| 1053801159 | Yameeka Bailey | Counselor | 4227 Quigley Ct, Waldorf, MD 20602-1520 | 2018-05-14 |
| 1831699693 | Lacole A Cole | Counselor | 3195 Old Washington Rd Ste 110, Waldorf, MD 20602-3201 | 2018-02-19 |
| 1386150167 | Project Chesapeake, LLC | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2017-12-16 |
| 1972028710 | Maria Cocoros | Counselor | 3200 Crain Hwy Ste 203, Waldorf, MD 20603-4841 | 2017-08-12 |
| 1942722970 | Ron C Johnson | Counselor | 11680 Doolittle Dr Ste 103, Waldorf, MD 20602-3802 | 2017-07-11 |
| Find all providers in WALDORF | ||||
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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.