DIANE MAXINE JORDAN LPCA NPI 1093267528

NPI Information

  • NPI: 1093267528
  • Provider Name: DIANE MAXINE JORDAN, LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2704 OAKCREST PL
    CHARLOTTE, NC
    ZIP 28209
  • Phone: (704) 309-5107

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NPI Details

Diane Maxine Jordan, LPCA is a mental health counselor in Charlotte, NC. Diane Maxine Jordan, LPCA NPI is 1093267528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2704 OAKCREST PL
CHARLOTTE, NC
ZIP 28209-127
Phone: (704) 309-5107

The enumeration date for this NPI number is 11/1/2016 and was last updated on 11/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthA12587NORTH CAROLINAYes

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: 11/21/2025

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