MS. ELLEN CHRISTINE JORDAN (NPI# 1649450206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649450206 |
| Entity Type | Individual |
| Full Name | MS. ELLEN CHRISTINE JORDAN |
| Other Name | MS. ELLEN CHRISTINE JORDAN |
| Credential | MFT |
| Practice Address |
446 S High St Sebastopol CA 95472-4369 |
| Practice Telephone | 7078248237 |
| Practice Fax Number | 7078248237 |
| Mailing Telephone | 7078248237 |
| Mailing Fax Number | 7078248237 |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2007-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFT32139 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122261 | Ellen Jordan | Nurse Practitioner | 424 E 34th St, New York, NY 10016-4901 | 2019-03-12 |
| 1750888426 | Ellen Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-10 |
| 1710389051 | Ellen Catherine Jordan | Physician Assistant | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2014-09-18 |
| 1922288083 | Ellen Jordan | Physical Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2007-11-06 |
| Street Address |
446 S HIGH ST |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679038780 | James Williams | Counselor | 876 Highway 116 S Ste 6, Sebastopol, CA 95472-4545 | 2019-02-02 |
| 1649740226 | Alen Schwab | Counselor | 1800 Gravenstein Highway North, Sebastopol, CA 95473 | 2018-11-27 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1538544952 | Arianna Passaro | Counselor | 855 Midpine Way, Sebastopol, CA 95472-5518 | 2015-07-27 |
| 1578843801 | Katherine J Schwimmer | Counselor | 11250 Barnett Valley Rd, Sebastopol, CA 95472-9555 | 2011-08-17 |
| 1700110392 | Anne Brown Gibson | Counselor | 874 Gravenstein Ave Ste 13, Sebastopol, CA 95472-4555 | 2009-09-29 |
| 1396078564 | Paula Wright | Counselor | 7856 Atkinson Rd, Sebastopol, CA 95472-2605 | 2009-09-04 |
| 1891965000 | Jessie Rose Shepherd | Counselor | 7680 Elphick Rd, Sebastopol, CA 95472-4751 | 2008-03-04 |
| 1962521088 | Merle Jenaii Gold | Counselor | 7550 Healdsburg Ave, Sebastopol, CA 95472-3325 | 2007-03-28 |
| 1134251630 | Nancy Salman | Counselor | West County Health Centers, 652 Petaluma Avenue, Suite D, Sebastopol, CA 95472 | 2007-03-10 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on MS. ELLEN CHRISTINE 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.