VANESSA JORDAN


Address: 62 W 7 Mile Rd, Detroit, MI 48203
Phone: 3138936172

VANESSA JORDAN (NPI# 1427414648) 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) 1427414648
Entity Type Individual
Full Name VANESSA JORDAN
Credential LLPC
Practice Address 62 W 7 Mile Rd
Detroit
MI 48203
Mailing Address 62 W 7 Mile Rd
Detroit
MI 48203-1967
Practice Telephone 3138936172
Enumeration Date 2016-01-04
Last Update Date 2018-06-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401013052 MI Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 3434247 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
41521 W 11 Mile Rd, Novi, MI 483751803 2482990030

Other Providers VANESSA JORDAN

NPI Name Taxonomy Address Enumeration
1457650889 Vanessa Jordan Occupational Therapist 250 E Debbie Lane, Mansfield, TX 76063-3852 2011-03-24
1780836361 Vanessa Jordan Physical Therapist 1726 S Division St Ste A, Guthrie, OK 73044-6022 2008-10-15
1538211099 Vanessa Lynn Jordan Counselor 6906 Daerwood Pl, Charlotte, NC 28215-8038 2007-01-17
1487132122 Vanessa Lee Jordan Pharmacist 6644 E Baywood Ave, Mesa, AZ 85206-1747 2018-08-03
1689031155 Vanessa Jordan Specialist/Technologist, Other 812 Avis Dr, Ann Arbor, MI 48108-9649 2016-01-28
1861635104 Vanessa Jordan Social Worker 3737 Lander Rd, Pepper Pike, OH 44124-5712 2009-04-16

Office Location

Street Address 62 W 7 MILE RD
City DETROIT
State MI
Zip Code 48203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154478576 Iklas Jarjis Bashi Counselor 62 W 7 Mile Rd, Detroit, MI 48203-1967 2007-01-05
1437765492 Jamila Ann Fox Registered Nurse 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-09-16
1609480367 Ali Ali Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-09-01
1821638677 Heba Dabaja Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-01-09
1942849690 Ryann S Hollis Student in an Organized Health Care Education/Training Program 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-12-29
1083264576 Juhaina Salim Said Al Wahaibi Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-17
1225687015 Kendra Sue Hungerford Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-05
1255980041 Lauren Taylor Holloway Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-05
1245896018 Asraa Albonajem Social Worker 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-05-16
1548826647 Alonzo Davion Reed Social Worker 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1851868582 Community Veterans Services Inc Counselor 163 Tennyson, Highland Park, MI 48203 2018-10-31
1346601838 Rainbow Center of Michigan Health Maintenance Organization 12501 Hamilton Ave., Highland Park, MI 48203 2016-03-11
1134502354 Minds Moving In New Directions Inc Community/Behavioral Health 62 Massachusetts St, Highland Park, MI 48203 2015-07-07
1811312937 Brea Holloway Home Health 20249 Yacama Rd, Detroit, MI 48203 2014-02-26
1770821795 St John Providence Health Systems Community/Behavioral Health 1150 Lantz St, Detroit, MI 48203 2013-01-25
1871845412 Waneta Darcell Dickerson Social Worker 169 W. Buena Vista, Highlandpark, MI 48203 2012-10-05
1629331939 Maureen Connolly Pediatrics 77 Victor St, Highland Park, MI 48203 2012-06-21
1578850251 Detroit Recovery Project Community/Behavioral Health 1121 East Mc Nichols, Detroit, MI 48203 2011-07-01
1265728414 Barbara Suzanne Tyson Home Health 301 Glendale St, Apt B8, Highland Park, MI 48203 2011-06-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244731 Better Days Counseling, Pllc Counselor 13501 Schaefer Hwy, Detroit, MI 48227-3538 2020-08-08
1174144281 Jasmine Noble Counselor 1535 Franklin St Apt 201, Detroit, MI 48207-4056 2020-04-29
1306473145 Julie Weatherhead Counselor 1624 Estates Dr, Detroit, MI 48206-2814 2020-03-23
1972134591 Tanya Bankston Counselor 4221 Moran St, Detroit, MI 48207-1705 2020-02-01
1871124768 Andrew Todd Henderson Counselor 1 Detroit Metro Airport, Detroit, MI 48242-1004 2020-01-29
1922561059 Odis Bellinger Counselor 440 Burroughs St Ste 149, Detroit, MI 48202-3429 2019-04-06
1245799469 Zipporah K Bolar Sr. Counselor 2900 Conner St Bldg A, Detroit, MI 48215-2407 2019-03-18
1215493549 Sammie Edwards Counselor 15734 Sussex St, Detroit, MI 48227 2019-02-12
1942764329 Crystal Jean Oliver Counselor 13770 Mecca St., Detroit, MI 48227-3025 2019-01-30
1922577246 Sheila Marie Cheeks Counselor 1600 Pingree St, Detroit, MI 48206-2436 2018-11-15
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Competitor

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City DETROIT
Zip Code 48203

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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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