TIFFANY MARIE JORDAN (NPI# 1619008489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008489 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE JORDAN |
| Practice Address |
940 Avenue 64 Pasadena CA 91105-2711 |
| Practice Telephone | 3232542274 |
| Mailing Telephone | 3232542274 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290317 | Tiffany Lynn Jordan | Registered Nurse | 3443 Beaumont Dr, Toledo, OH 43608-1610 | 2010-07-23 |
| 1497233233 | Tiffany Jordan | Community Health Worker | 1569 State Route 28, Loveland, OH 45140-6086 | 2018-08-03 |
| 1154748747 | Tiffany Jordan | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2014-03-21 |
| 1992136246 | Tiffany Jordan | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-12-11 |
| 1275779423 | Tiffany Nichol Jordan | Nurse Practitioner | 2120 S Mcclintock Dr, Ste 105, Tempe, AZ 85282-2692 | 2008-12-17 |
| 1407072341 | Tiffany B Jordan | Preventive Medicine | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-04-18 |
| Street Address |
940 AVENUE 64 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860039 | Robert R. Howard | Social Worker | 940 Avenue 64, Pasadena, CA 91105-2711 | 2006-10-26 |
| 1225639453 | Cinnamon Raykel Mccellen | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-11-04 |
| 1285234401 | Paulette Koss | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1497355614 | Taqwa Ramadan | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1801496013 | Tiffany Rose Garcia | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1518566728 | Courtney Bre'ann Oaties | Licensed Vocational Nurse | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1598364713 | Anna Darlene Roberts | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1861009078 | Bianca J Russell | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1609483817 | Estephany Olivos | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1417564626 | Raul Carreon | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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 |
|---|---|---|---|---|
| 1396306254 | Franco A Palacios | Counselor | 619 Atchison St, Pasadena, CA 91104-1212 | 2019-06-21 |
| 1891352993 | Lillian Jackson | Counselor | 8000 Jumpers Hole Rd Ste 200, Pasadena, MD 21122-1046 | 2019-05-23 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1588180889 | Lesley Patterson | Counselor | 541 S El Molino Ave Apt E, Pasadena, CA 91101-3434 | 2017-08-17 |
| 1962922294 | Monica Diane Mayall | Counselor | 2304 Paloma St, Pasadena, CA 91104-4925 | 2017-06-27 |
| 1295289304 | Maragret Imhoff | Counselor | 123 N Parkwood Ave, Pasadena, CA 91107-3532 | 2016-08-05 |
| 1144699273 | Ahmad Rahim | Counselor | 275 E Green St Apt 1558, Pasadena, CA 91101 | 2015-09-18 |
| 1790174506 | Boladale Wuraola Adegoroye | Counselor | 768 Duvall Hwy, Pasadena, MD 21122-1620 | 2015-01-16 |
| 1578844676 | Mary Carr | Counselor | 66 Hurlbut St #100, Pasadena, CA 91105 | 2011-09-01 |
| 1407154974 | Lernik Melkon | Counselor | 2550 East Foothill Blvd, 2nd Floor, Pasadena, CA 91107 | 2011-03-08 |
| Find all providers in PASADENA | ||||
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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.