JORDAN MARTIN (NPI# 1013549781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013549781 |
| Entity Type | Individual |
| Full Name | JORDAN MARTIN |
| Credential | MS, LPC |
| Practice Address |
283 Butler Rd Mount Gretna PA 17064-6085 |
| Mailing Address |
Po Box 550 Mount Gretna PA 17064-0550 |
| Practice Telephone | 7172738871 |
| Mailing Telephone | 7172738871 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC012188 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1245696087 | Jordan Bradley Martin | Chiropractor | 330 Park Ave Ste 3, Laguna Beach, CA 92651-2352 | 2016-01-09 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1881162709 | Jordan Martin | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2018-11-08 |
| 1851890040 | Jordan Gabriel Martin | Chiropractor | 3000 W 10th St, Greeley, CO 80634-5335 | 2018-02-02 |
| 1215447917 | Jordan Martin | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2017-10-07 |
| 1558815308 | Jordan Martin | Physical Therapist | 131 Nutt Rd, Phoenixville, PA 19460-3905 | 2016-08-10 |
| 1558617316 | Jordan Martin | Dentist | 9136 Bonita Beach Rd Se, Bonita Springs, FL 34135-4281 | 2012-07-31 |
| 1326277997 | Jordan R Martin | Anesthesiology | 455 N Sherman St, Suite 510, Denver, CO 80203-4400 | 2009-07-04 |
| Street Address |
283 BUTLER RD |
| City | MOUNT GRETNA |
| State | PA |
| Zip Code | 17064-6085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952360232 | Shawne D. Diaz | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2006-03-23 |
| 1689273823 | Bridgette Elizabeth Clarke | Psychologist | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-10-19 |
| 1093313801 | Taylor Marie Tyneway | Behavioral Analyst | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-10-14 |
| 1043827306 | Marlene N Reiff | Social Worker | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-30 |
| 1619582780 | Heather Laudenslager | Behavioral Analyst | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-15 |
| 1992310643 | Timothy Wade Scott | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-10 |
| 1023622594 | Abigail Adomaa Frimpong | Nurse Practitioner | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-02 |
| 1619580982 | Rachael Eskenazi | Behavioral Analyst | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-08-26 |
| 1487272597 | Kori Kline | Behavioral Analyst | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-07-07 |
| 1619593639 | Mary Collette Summers | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1952781023 | Jennifer Taylor | Counselor | 283 S. Butler Road, Mt Gretna, PA 17064 | 2015-06-04 |
| 1215379318 | James Owen Rimel Jr. | Social Worker | 283 Butler Road, Mt. Gretna, PA 17064 | 2013-07-18 |
| 1548554884 | Cynthia Theresa Fonder | Psychiatry & Neurology | 283 S. Butler Rd, Mt. Gretna, PA 17064 | 2011-06-03 |
| 1518286491 | Pa Evaluations, LLC | Clinic/Center | 302 6th St., Mount Gretna, PA 17064 | 2010-05-18 |
| 1942451471 | Glenn Acker | Psychologist | 304 Sixth St, Mount Gretna, PA 17064 | 2008-10-02 |
| 1619195070 | John Francis Dolena | Psychiatry & Neurology | 283 S. Butler Rd., Philhaven Behavioral Health Services, Mt Gretna, PA 17064 | 2007-04-23 |
| 1487878773 | Philhaven Residential | Psychiatric Residential Treatment Facility | 643 Horseshoe Pk, Lebanon, PA 17064 | 2007-04-11 |
| 1487665857 | Jose Angel Alfano | Psychiatry & Neurology | 283 South Butler Road, Mt Gretna, PA 17064 | 2006-08-11 |
| 1275563140 | Olaniyi I Oluleye | Psychiatry & Neurology | 283 S Butler Road, Mt Gretna, PA 17064 | 2006-07-04 |
| Find all providers in zip 17064 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932677754 | Erica Michele Roland | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2018-11-09 |
| 1679097919 | Lindsey Anne Reichert | Counselor | Po Box 550, Mount Gretna, PA 17064-0550 | 2017-07-28 |
| 1194259051 | Brittany Dancy Caro | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2017-04-18 |
| 1841656865 | Dana Hampton | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2016-01-06 |
| 1649666090 | Stacey Danielle Bailey | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2015-04-13 |
| 1548653579 | Holly Cooper Thatcher | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2015-03-16 |
| 1861801516 | Amie M. Jumper | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2014-08-07 |
| 1437567781 | Bethany Oshel | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2014-07-31 |
| 1679917132 | Paula Ann Bellavance | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2013-04-26 |
| 1194065235 | Ann M Burris | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2013-02-27 |
| Find all providers in MOUNT GRETNA | ||||
| City | MOUNT GRETNA |
| Zip Code | 17064 |
Please comment or provide details below to improve the information on JORDAN MARTIN.
| 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.