GEKITA M JORDAN (NPI# 1700944337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700944337 |
| Entity Type | Individual |
| Full Name | GEKITA M JORDAN |
| Credential | LPC |
| Practice Address |
4200 Stuart St Greenville TX 75401-5759 |
| Mailing Address |
400 Airport Rd Po Box 747 Terrell TX 75160-4302 |
| Practice Telephone | 9725244159 |
| Practice Fax Number | 9725635321 |
| Mailing Telephone | 9725244159 |
| Mailing Fax Number | 9725635321 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
13898 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PRIVATE INS. ID | 84082L | 01 |
| Street Address |
4200 STUART ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851459374 | Kimberly J Snell | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2006-12-05 |
| 1700423928 | Amy Weems | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-12-06 |
| 1457901811 | Sravanthi Sabbineni | Pharmacist | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-09-18 |
| 1558916502 | Live Well Pharmacy LLC | Pharmacy | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-08-07 |
| 1376008391 | Leslye Vaughan | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-02-04 |
| 1740788736 | Yvonne Raffini | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-25 |
| 1609383777 | Jeffery Holt | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-10 |
| 1427565225 | David Kistenmacher | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-03 |
| 1932594272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 4200 Stuart St, Attn: Pharmacy Dept., Greenville, TX 75401-5759 | 2015-04-03 |
| 1164580684 | Rod R Ryder | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on GEKITA M 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.