MR. RONALD EDWARD JORDAN III (NPI# 1700189651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700189651 |
| Entity Type | Individual |
| Full Name | MR. RONALD EDWARD JORDAN III |
| Credential | B.A.-B.H.R.S. |
| Practice Address |
647 N Kickapoo Ave Shawnee OK 74580 |
| Practice Telephone | 9184703483 |
| Mailing Telephone | 9184703483 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1164424230 | Ronald P Jordan | Pharmacist | 10 Taggart Ct, East Greenwich, RI 02818-1085 | 2005-06-02 |
| 1467080085 | Ronald A Jordan Jr. | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2020-03-30 |
| 1760943013 | Ronald Scott Jordan | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2019-03-28 |
| 1952587917 | Ronald J Jordan | Pharmacist | 2040 Western Ave, Albany, NY 12203-5012 | 2008-01-21 |
| 1427118058 | Ronald Jordan Jr. | Counselor | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2006-12-12 |
| 1780654905 | Ronald H Jordan | Anesthesiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2006-01-23 |
| Street Address |
647 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891008199 | Zachery Aaron Coplen | Case Manager/Care Coordinator | 647 N Kickapoo Ave, Shawnee, OK 74801-6063 | 2010-07-15 |
| 1457609893 | Linda K Crosthwait | Case Manager/Care Coordinator | 647 N Kickapoo Ave, Shawnee, OK 74801-6063 | 2012-08-15 |
| 1932402948 | Deidra Rachelle Meredith | Behavioral Analyst | 647 N Kickapoo Ave, Shawnee, OK 74801-6063 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325670 | Everyday Community Resources | In Home Supportive Care | 13413 W 75th Ct, Shawnee, KS 66216-3078 | 2020-10-26 |
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1306444294 | Rl Kansas City 1, LLC | Assisted Living Facility | 7170 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1598363665 | Tina M Clark | Social Worker | 7150 Millbrook St, Shawnee, KS 66218-9235 | 2020-10-12 |
| 1538772033 | Tony Lynell Sanders | Nurse Practitioner | 11914 W 49th Pl, Shawnee, KS 66216-1369 | 2020-08-25 |
| 1821600164 | Billy Ray Huff Jr. | Peer Specialist | 134 N Philadelphia Ave, Shawnee, OK 74801-7034 | 2020-08-18 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1487265534 | Chelsea Alexandra Hull | Speech-Language Pathologist | 44038 45th St Ste A, Shawnee, OK 74804-9683 | 2020-08-12 |
| 1326656117 | Joel David Piper | Dentist | 10840 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-07-17 |
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| Find all providers in SHAWNEE | ||||
| 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 |
|---|---|---|---|---|
| 1669024790 | Monica Pacheco | Counselor | 429 N Union Ave, Shawnee, OK 74801-7019 | 2019-07-09 |
| 1386101624 | Kelly S Beck | Counselor | 722 E Independence St Ste I, Shawnee, OK 74804-4037 | 2019-02-22 |
| 1700326626 | Heidi Jeffcoat | Counselor | 4404 N Pottenger Ave, Shawnee, OK 74804-1269 | 2017-02-24 |
| 1386199081 | Mindee Todd | Counselor | 600 W Independence St Ste 900, Shawnee, OK 74804-4320 | 2016-08-23 |
| 1679956189 | Sarah Simonson | Counselor | 600 W Independence St, Suite 900, Shawnee, OK 74804-4320 | 2015-07-01 |
| 1972901460 | Greta Morgan | Counselor | 16851 W 67th Ter, Apt. 379, Shawnee, KS 66217-9694 | 2014-12-15 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1487064796 | Amanda Allen | Counselor | 43985 Hunters Hill Dr, Shawnee, OK 74801-8927 | 2014-05-08 |
| 1053734343 | Preston Leon Armstrong | Counselor | 37800 W. Macarthur St, Lot 22, Shawnee, OK 74804-9265 | 2014-01-23 |
| 1205178209 | Melissa Sue Upton-strong | Counselor | 3602 N Union Ave, Shawnee, OK 74804-2158 | 2013-03-18 |
| Find all providers in SHAWNEE | ||||
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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.