JORDAN ZY LEDDY


Address: 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217
Phone: 9092662700

JORDAN ZY LEDDY (NPI# 1902462799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902462799
Entity Type Individual
Full Name JORDAN ZY LEDDY
Practice Address 572 N Arrowhead Ave Ste 100
San Bernardino
CA 92401-1217
Practice Telephone 9092662700
Mailing Telephone 9092662700
Enumeration Date 2019-05-16
Last Update Date 2019-06-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
4721 CA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 572 N ARROWHEAD AVE STE 100
City SAN BERNARDINO
State CA
Zip Code 92401-1217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346381514 Adachi Amy Mgbafilike Counselor 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2007-02-09
1386252120 Emelyn Laszkiewicz Counselor 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2020-07-17
1124653175 Jesica Torres Case Manager/Care Coordinator 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2020-03-10
1235762378 Giselle Eva Lizarraga Case Manager/Care Coordinator 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2020-02-18
1710526538 Dahshae Tate Marriage & Family Therapist 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-12-26
1013554013 Karla Fernanda Flores Behavioral Analyst 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-12-09
1154963726 Christian Alexander Colunga Behavioral Analyst 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-10-15
1467002881 Johanna Paola Vargas Case Manager/Care Coordinator 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-09-17
1427601921 Latasha Marie Bridgemon Case Manager/Care Coordinator 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-07-23
1619533684 Gloria Torres Counselor 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 2019-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649885468 Eagles Wings Hospice, LLC Hospice Care, Community Based 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 2020-09-09
1457831398 Omar Torres Case Manager/Care Coordinator 574 N Arrowhead Ave., San Bernardino, CA 92401 2018-08-20
1104354539 Llesenia Aleman Case Manager/Care Coordinator 597 North Arrowhead Ave, San Bernardino, CA 92401 2017-05-30
1669916193 Yvonne Castro Marriage & Family Therapist 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 2016-12-19
1811342132 Maria Teresa Rodriguez Cortes Counselor 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 2016-04-25
1841603339 Kelly Michelle Cottingham Licensed Practical Nurse 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 2014-06-03
1558781245 Desiree Inez Harris Counselor 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 2014-04-21
1194159970 Sabrina Shrita Thakur Marriage & Family Therapist 572 N Arrowhead, San Bernardino, CA 92401 2013-08-28
1770845497 Youths' Hope Licensed Clinical Social Worker Inc Counselor 255 N. D Street, Suite 400, San Bernardino, CA 92401 2012-06-08
1235461427 Erin Nicole Stines Recreation Therapist 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 2010-02-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700343183 Phillip Loving Counselor 5500 University Pkwy # Ce-120, San Bernardino, CA 92407-2318 2019-02-21
1285108555 Sl Hobson Enterprises LLC Counselor 445 S Arrowhead Ave Ste C, San Bernardino, CA 92408-1335 2019-01-19
1730660069 Kate E Salami Counselor 255 N D St Ste 400, San Bernardino, CA 92401-1715 2018-08-24
1659875904 Ezekiel Moseley Counselor 225 W Hospitality Ln Ste 201d, San Bernardino, CA 92408-3245 2018-03-21
1336647494 Paul J Iorio Counselor 1669 Norht E Street, San Bernardino, CA 92405 2018-01-24
1396262119 Katherine Ingram Counselor 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 2017-08-23
1245760909 Leslie E Brooks Jr. Counselor 325 W. Hospitality Ln. Ste 103, San Bernardino, CA 92408 2017-06-15
1417486788 Juanita Marisol Barrientos Counselor 1908 Business Center Dr., San Bernardino, CA 92408 2017-06-08
1245768480 Erika Sethi Counselor 900 E. Gilbert St, Cottage 4, San Bernardino, CA 92408-3258 2017-06-01
1699210591 Stacey Ramirez Counselor 244 S D St, San Bernardino, CA 92401-2004 2016-12-30
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Competitor

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City SAN BERNARDINO
Zip Code 92401

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Dataset Information

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.

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