Active NPIIndividual providerSole proprietor

Dr. Irene Jordan, DOCTORATE

Counselor, Mental Health in Maplewood, New Jersey

NPI Number1629899034
Practice location
2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714
Fax
—
Last updated
October 18, 2024

Irene Jordan is a Counselor, Mental Health based in Maplewood, NJ. Irene Jordan practices in Maplewood, NJ and has the professional credentials of DOCTORATE. The NPI Number for Irene Jordan is 1629899034. The current practice location address for Irene Jordan is 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714 and can be reached out via phone at 973-850-9554.

Provider Profile Details

NPI Number
1629899034
Provider Name
Irene Jordan
Credential
DOCTORATE
Provider Entity Type
Individual
Gender
Female
Address
2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714
Phone Number
973-850-9554
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 18, 2024
Last Update Date
October 18, 2024
Certification Date
October 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2115 Millburn Ave Ste 104
Maplewood, NJ 07040-3714
Zip
07040-3714
Phone Number
973-850-9554
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2115 Millburn Ave Ste 104
Maplewood, NJ 07040-3714
City
Maplewood
State
NJ
Zip
07040-3714
Phone Number
973-850-9554

License Information

License State (1)
NJ
Taxonomy (1)
Counselor, Pastoral · 101YP1600X
License State (2)
NJ
Taxonomy (2)
Marriage & Family Therapist · 106H00000X
License State (3)
NJ
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Irene Jordan, DOCTORATE?

The NPI number of Dr. Irene Jordan, DOCTORATE is 1629899034. It was assigned on October 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Irene Jordan, DOCTORATE?

Dr. Irene Jordan, DOCTORATE is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Dr. Irene Jordan, DOCTORATE practice?

The practice location is 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714. The office can be reached at 973-850-9554 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629899034 directly on the NPPES registry website.

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