JORDAN R MILLER (NPI# 1174182778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174182778 |
| Entity Type | Individual |
| Full Name | JORDAN R MILLER |
| Credential | LAC |
| Practice Address |
3048 E Baseline Rd Ste 107 Mesa AZ 85204-7287 |
| Mailing Address |
5359 E Elmwood St Mesa AZ 85205-5440 |
| Practice Telephone | 4804522556 |
| Mailing Telephone | 4805281784 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LAC-6046T | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672116 | Jordan Miller | Chiropractor | 1201 Road To Six Flags St E Ste 103, Arlington, TX 76011-5044 | 2019-11-04 |
| 1508330408 | Jordan L Miller | Specialist/Technologist | 4084 Grayfriars Ln, Columbus, OH 43224-1758 | 2019-01-14 |
| 1689175200 | Jordan Miller | Student in an Organized Health Care Education/Training Program | 6775 Newport Lake Cir, Boca Raton, FL 33496-3004 | 2018-02-28 |
| 1821442484 | Jordan Miller | Specialist/Technologist | 324 E Pike St, South Lebanon, OH 45065-1334 | 2016-04-20 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1871190991 | Jordan Wayne Miller | Chiropractor | 11876 Olio Rd Ste 500, Fishers, IN 46037-9772 | 2020-10-01 |
| 1689282295 | Jordan Lindsey Miller | Nurse Practitioner | 231 Medical Park Dr Ste 300, Bluefield, VA 24605-1531 | 2020-07-20 |
| 1023635281 | Jordan K Miller | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-07-02 |
| 1972128049 | Jordan Benner Miller | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-14 |
| 1669009502 | Jordan Daniel Miller | Student in an Organized Health Care Education/Training Program | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-03-23 |
| Street Address |
3048 E BASELINE RD STE 107 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260781 | Kira Butler | Marriage & Family Therapist | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2015-11-16 |
| 1912557554 | Amy Elizabeth Johns | Marriage & Family Therapist | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2019-09-16 |
| 1518516715 | Michelle Lyn Penfield Fowler | Counselor | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| 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 |
|---|---|---|---|---|
| 1801414164 | Rosalie Marie Hasseltine | Counselor | 44 S Greenfield Rd Unit 9, Mesa, AZ 85206-1210 | 2020-07-13 |
| 1811552581 | Samuel Paul Bryant | Counselor | 1024 W Fremont Ave, Mesa, AZ 85210-9316 | 2019-05-07 |
| 1326511593 | Smith Behavioral Health, P.C. | Counselor | 225 W 1st St Unit 120, Mesa, AZ 85201-6554 | 2019-01-09 |
| 1013496751 | Renee Christine Deyden | Counselor | 533 W Guadalupe Rd Unit 1073, Mesa, AZ 85210-7761 | 2018-08-13 |
| 1245720663 | Kristian Jay Mastin | Counselor | 2345 S Alma School Rd Ste 102, Mesa, AZ 85210-4013 | 2018-05-10 |
| 1477055176 | Erik Adair Johnson | Counselor | 6262 E Broadway Rd Ste 110, Mesa, AZ 85206-6101 | 2018-03-08 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1679090369 | Jessica L Sisson | Counselor | 8844 E Pampa Ave, Mesa, AZ 85212-2829 | 2017-08-24 |
| 1417489162 | Emily Kirkland | Counselor | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2017-03-31 |
| 1609314434 | Jared Mcgrath | Counselor | 5345 E Mclellan Rd, Unit 53, Mesa, AZ 85205-3412 | 2017-01-31 |
| Find all providers in MESA | ||||
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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.