MR. CHRISTOPHER DAVID JORDAN (NPI# 1871124016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871124016 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER DAVID JORDAN |
Credential | LBSW |
Practice Address |
509 E Big Bear Rd Connersville IN 47331-8312 |
Practice Telephone | 7656985115 |
Mailing Telephone | 7656985115 |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 33900026A | IN | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689938664 | Christopher Jordan | Family Medicine | 611 E Douglas Rd Ste 137, Mishawaka, IN 46545-1464 | 2012-06-25 |
1568738490 | Christopher Paul Jordan | Student in an Organized Health Care Education/Training Program | 605 6th St Fl 6, Brooklyn, NY 11215-3713 | 2012-03-26 |
1033266291 | Christopher N. Jordan | Dentist | 2920 Crossing Ct, Champaign, IL 61822-6163 | 2007-01-03 |
1104848951 | Christopher Paul Jordan | Optometrist | 636 W Schrock Road, Westerville, OH 43081-8996 | 2006-07-24 |
1053362574 | Christopher Shannon Jordan | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2006-05-12 |
1013493501 | Christopher Robert Jordan | Chiropractor | 1254 Se Century Dr, Lees Summit, MO 64081-3286 | 2018-07-17 |
1619488707 | Christopher Thomas Jordan | Social Worker | 233 Needham St, Newton, MA 02464-1573 | 2017-10-17 |
1417495490 | Christopher Henry Jordan | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2017-02-09 |
1073913455 | Christopher Juan Jordan | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2014-09-04 |
1508006222 | Christopher Jordan | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2009-02-21 |
Street Address |
509 E BIG BEAR RD |
City | CONNERSVILLE |
State | IN |
Zip Code | 47331-8312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275062630 | Williams Creek Health Center | Chiropractor | 685 S Co Rd 350 W, Connersville, IN 47331 | 2017-06-08 |
1801275201 | Americas Best Foot and Ankle Specialists | Podiatrist | 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 | 2015-05-19 |
1508027269 | Kevin Andrew Yaryan | Optometrist | 522 N Eastern Ave, Connersville, IN 47331 | 2008-06-24 |
1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
1316024904 | Mark Milton Wynn | Chiropractor | 208 W 20th St, Connersville, IN 47331 | 2006-11-01 |
1356368104 | Fayette County Government | Clinic/Center | 401 Central Ave, Connersville, IN 47331 | 2006-07-17 |
1760437818 | Karl Phillip Greene | Optometrist | 2045 Virginia Avenue, Connersville, IN 47331 | 2006-05-24 |
1225098825 | Fayette Memorial Hospital Assoc Inc | Clinic/Center | 3542 N Western Ave, Connersville, IN 47331 | 2006-03-27 |
1437118973 | Jereme Shawn Pflum | Chiropractor | 685 S. C.r. 350 W, Connersville, IN 47331 | 2006-03-22 |
1649279258 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 281 S County Road 200 E, Connersville, IN 47331 | 2005-07-15 |
Find all providers in zip 47331 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
1710599154 | We Are The Village Inc. | Community/Behavioral Health | 623 Washington St, Gary, IN 46402-2401 | 2020-08-18 |
1750993218 | Minds Matter, LLC | Community/Behavioral Health | 2205 E Morgan Ave Ste 122, Evansville, IN 47711-4358 | 2020-08-17 |
1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
1013538081 | Progressions Counseling, LLC | Community/Behavioral Health | 250 S Washington St Ste 2, Hobart, IN 46342-4151 | 2020-05-01 |
1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
Find all providers with the same taxonomy |
City | CONNERSVILLE |
Zip Code | 47331 |
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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.