MS. COLLEEN REBECCA JORDAN (NPI# 1053669481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053669481 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN REBECCA JORDAN |
| Credential | LMHC |
| Practice Address |
75 S Church St 6th Floor Suite 6 Pittsfield MA 01201-6157 |
| Practice Telephone | 4133584757 |
| Mailing Telephone | 4133584757 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7606 | MA | Behavioral Health & Social Service Providers |
| Street Address |
75 S CHURCH ST 6TH FLOOR SUITE 6 |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925986 | Kristen Newsome | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1053804872 | Christine Lynch | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1407349228 | Kim Mutz | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1487147203 | Dana Boosma | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1376036095 | Nikki Mcwhirt | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1033602859 | Shayla Bowman | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1750874475 | Amie Drysgola | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1194218818 | Amanda Forgett | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1760974224 | Jenna Hamilton | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-05-31 |
| 1245659754 | Berkshire Medical Center, Inc | Hospice Care, Community Based | 75 S Church St, Pittsfield, MA 01201-4109 | 2014-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194258889 | Kari E Mathes | Counselor | 390 Merrill Rd, Pittsfield, MA 01201-3724 | 2017-04-10 |
| 1588067631 | Crystal M. Tillman | Counselor | 100 North Street First Floor South Bay Mental Health, Pittsfield Outreach Program Center, Pittsfield, MA 01201 | 2014-10-03 |
| 1104169713 | Katie Anne Chagnon | Counselor | 334 Fenn St, Pittsfield, MA 01201-8242 | 2013-04-02 |
| 1548505878 | Lianne Marie Lippman | Counselor | 63 Wendell Ave, Pittsfield, MA 01201-6305 | 2012-11-27 |
| 1770899312 | Jennifer R. Kircher | Counselor | 251 Fenn Street Brien Center, Pittsfield, MA 01201 | 2010-08-20 |
| 1861704348 | Angela Wilson | Counselor | 288 Cloverdale St, Pittsfield, MA 01201-8518 | 2010-07-13 |
| 1487985339 | Marie Tiffany | Counselor | 877 South St., 1 St Floor, Pittsfield, MA 01201-4714 | 2010-01-15 |
| 1174704027 | Diane Huntley Loais | Counselor | 141 North St Ste 3, Pittsfield, MA 01201-4121 | 2007-11-20 |
| 1043407505 | Carl J. Gigliotti | Counselor | 48 Lexington Pkwy, Pittsfield, MA 01201-7330 | 2007-09-28 |
| 1699802983 | Lara S Denmark | Counselor | 67 Rockland Dr, Pittsfield, MA 01201-8418 | 2007-02-27 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on MS. COLLEEN REBECCA JORDAN.
| 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.