JORDAN TYLER DEWITT (NPI# 1679064984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679064984 |
| Entity Type | Individual |
| Full Name | JORDAN TYLER DEWITT |
| Credential | MA, LMFT, LCASA |
| Practice Address |
227 N Main St Troy NC 27371-3058 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 9105723681 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 12093A | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 W Walker Ave, Asheboro, NC 272036760 | 3366337000 | 3366253817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793961 | Jordan Vance Dewitt | Pharmacist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-02 |
| Street Address |
227 N MAIN ST |
| City | TROY |
| State | NC |
| Zip Code | 27371-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992749568 | Heather A. Rogers | Psychiatry & Neurology | 227 N Main St, Troy, NC 27371-3015 | 2006-06-15 |
| 1821633736 | Carol Marie Shepard | Social Worker | 227 N Main St, Troy, NC 27371-3058 | 2019-11-14 |
| 1871083139 | Jennifer Pauline Beadell | Counselor | 227 N Main St, Troy, NC 27371 | 2018-05-12 |
| 1093215709 | Janet Floyd Hatley X | Clinical Nurse Specialist | 227 N Main St, Troy, NC 27371-3058 | 2018-02-19 |
| 1912411026 | Lisa Cockman Mcmasters | Clinical Nurse Specialist | 227 N Main St, Troy, NC 27371-3058 | 2017-11-28 |
| 1063964716 | Tyler Leigh-ann Talbert | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2016-10-28 |
| 1447706999 | Daryl David Gorden | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2016-08-25 |
| 1629441423 | Beverly Jane Weary | Registered Nurse | 227 N Main St, Troy, NC 27371-3058 | 2015-11-03 |
| 1447622725 | Chanda Hance | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2015-10-26 |
| 1104243617 | Christopher Clay Knotts | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2014-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1124432315 | Derma Sleeves, LLC | Durable Medical Equipment & Medical Supplies | 102 W. Chestnut St., Troy, NC 27371 | 2014-06-16 |
| 1790098903 | Deborah Whitling | Social Worker | 318 N. Main St, Nc Mentor, Troy, NC 27371 | 2010-07-16 |
| 1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
| 1750592630 | National Mentor Health Care LLC | Social Worker | 318 N. Main St., Troy, NC 27371 | 2007-05-24 |
| 1639207954 | Montgomery County Council On Aging | Home Delivered Meals | 503 Page St, Troy, NC 27371 | 2007-02-28 |
| 1053450148 | Lisa Anne Atkins | Counselor | 318 North Main Street, Troy, NC 27371 | 2007-02-05 |
| 1134295850 | County of Montgomery | Clinic/Center | 217 South Main St, Troy, NC 27371 | 2006-11-27 |
| 1730262817 | Terry V Wood Dmd Pa | Dentist | 201 N Main, Troy, NC 27371 | 2006-10-23 |
| Find all providers in zip 27371 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961771 | Kendra Hathaway | Marriage & Family Therapist | 1777 Axtell Dr Ste 107, Troy, MI 48084-4400 | 2019-03-19 |
| 1124598800 | Vanessa Bever | Marriage & Family Therapist | 406 Fulton St Ste 509, Troy, NY 12180-3359 | 2018-11-26 |
| 1760938641 | Christopher Ryan Mcdaniel | Marriage & Family Therapist | 1777 Axtell Dr Ste 101, Troy, MI 48084-4400 | 2016-08-30 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1528368206 | Cynthia Ellen Holloway | Marriage & Family Therapist | 1178 Pond View Dr, Troy, OH 45373-7611 | 2010-10-27 |
| 1750925707 | Silvia Gisela Leija | Marriage & Family Therapist | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2019-11-03 |
| 1013566496 | Rachel Blanchette | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-09-08 |
| 1235790817 | Birch Ryder Snogles | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-06-25 |
| 1972069789 | John William Poliskey | Marriage & Family Therapist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2019-02-17 |
| 1023507969 | Megan Lynn Safford Nishibori | Marriage & Family Therapist | 850 Stephenson Hwy, Troy, MI 48083-1152 | 2018-05-07 |
| Find all providers in TROY | ||||
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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.