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CHAD JORDAN LMFT NPI 1568416733


NPI Information

NPI: 1568416733
Provider Name: CHAD JORDAN, LMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1100 LOGGER CT
G-103
RALEIGH, NC
ZIP 27609
Phone: (800) 755-6309
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Chad Jordan, LMFT is a marriage family therapist in Raleigh, NC. The provider is 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. Chad Jordan, LMFT NPI is 1568416733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 LOGGER CT
G-103
RALEIGH, NC
ZIP 27609-525
Phone: (800) 755-6309
Fax: (800) 755-6309

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist1092NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16105064MEDICAIDNORTH CAROLINA
2141AEOTHERNORTH CAROLINABCBS
3374679OTHERNORTH CAROLINAMHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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