JORDAN DAVID KELLER


Address: 2600 Executive Park Nw, Cleveland, TN 37312-2705
Phone: 8655250391

JORDAN DAVID KELLER (NPI# 1487001871) 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) 1487001871
Entity Type Individual
Full Name JORDAN DAVID KELLER
Practice Address 2600 Executive Park Nw
Cleveland
TN 37312-2705
Mailing Address 301 S Perimeter Park Dr
Suite 210
Nashville
TN 37211-4143
Practice Telephone 8655250391
Mailing Telephone 8655250391
Enumeration Date 2016-05-16
Last Update Date 2016-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

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

Other Providers JORDAN KELLER

NPI Name Taxonomy Address Enumeration
1063941151 Jordan Keller Community Health Worker 430 E 450 S, Clearfield, UT 84015-1736 2017-06-12
1962775395 Jordan William Keller Radiology Practitioner Assistant 27 Park St, Hyannis, MA 02601-5230 2012-02-15

Office Location

Street Address 2600 EXECUTIVE PARK NW
City CLEVELAND
State TN
Zip Code 37312-2705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730306309 Lesley Ann Brackett Counselor 2600 Executive Park Nw, Cleveland, TN 37312-2705 2007-04-18
1861966673 Cayci Koeneman Social Worker 2600 Executive Park Nw, Cleveland, TN 37312-2705 2019-01-15
1992289680 Carrie Lynn Kirkpatrick Social Worker 2600 Executive Park Nw, Cleveland, TN 37312-2705 2018-09-19
1952815391 Hayley Sanchez Counselor 2600 Executive Park Nw, Cleveland, TN 37312-2705 2017-11-21
1609320415 Bridget Loudermillk Case Manager/Care Coordinator 2600 Executive Park Nw, Cleveland, TN 37312-2705 2016-08-10
1013371970 Ashley Wright Case Manager/Care Coordinator 2600 Executive Park Nw, Cleveland, TN 37312-2705 2016-04-07
1487025284 Daniel Murch Case Manager/Care Coordinator 2600 Executive Park Nw, Cleveland, TN 37312-2705 2015-10-19
1215329859 Laura Gould Case Manager/Care Coordinator 2600 Executive Park Nw, Cleveland, TN 37312-2705 2015-02-18
1336539139 Machelle Johnson Counselor 2600 Executive Park Nw, Cleveland, TN 37312-2705 2015-01-31
1447648761 Dedra Spradling Counselor 2600 Executive Park Nw, Cleveland, TN 37312-2705 2015-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366041196 Middle Tennessee Treatment Clinics, LLC Clinic/Center 3575 Keith Street Nw, Cleveland, TN 37312 2020-10-22
1922630870 Samuel Anthony Pharr Physical Therapist 1090 Tasso Lane, Ne, Cleveland, TN 37312 2020-02-09
1508400235 Paul E. Pinson Anesthesiology 3917 Georgetown Road, Nw, Cleveland, TN 37312 2019-11-06
1902456114 Brittani P Munck Technician 147 Gable Dr Nw, Cleveland, TN 37312 2019-09-19
1053975243 Christian Joy Mcgirt Counselor 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 2019-04-24
1629558812 Back In Motion, Inc. Chiropractor 3771 Georgetown Rd. Nw, Cleveland, TN 37312 2018-08-16
1508342221 Andre L James Case Manager/Care Coordinator 2600 Executive Drive, Cleveland, TN 37312 2018-07-16
1386152197 Courtney Ferguson Behavioral Analyst 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 2018-01-15
1669992285 Nurseprofessionals Licensed Practical Nurse 2901 Peerless Road, Cleveland, TN 37312 2017-06-24
1407383334 I Care Eyecare LLC Optometrist 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 2017-05-23
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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
1982203246 Kimberly Fuller, Lisw, LLC Counselor 2291 W 38th St, Cleveland, OH 44113-3867 2020-10-19
1255930467 Jessica Becka LLC Counselor 5206 Tillman Ave, Cleveland, OH 44102-2248 2020-10-19
1629675541 Shayna Mell Counselor 4542 Wilburn Dr, Cleveland, OH 44121-3863 2020-10-04
1316552649 Monisa Ramseur Counselor 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 2020-09-14
1164031076 Michele R Princeton Counselor 3846 E 65th St, Cleveland, OH 44105-3560 2020-07-27
1700407517 Cornerstone Behavioral Health LLC Counselor 814 E 185th Street, Suite 300, Cleveland, OH 44119 2020-05-04
1811522337 Mary Cassidy Counselor 4128 Lorain Ave, Cleveland, OH 44113-3719 2020-03-04
1285272963 Theophilus Nikia Williams Counselor 3521 W 54th St, Cleveland, OH 44102-5709 2019-12-13
1467098822 Jordan Community Residential Counselor 2231 N Taylor Rd, Cleveland, OH 44112-3044 2019-11-20
1285275529 Anchor Warrior Center Counselor 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 2019-10-07
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Competitor

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City CLEVELAND
Zip Code 37312

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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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