CHERELLE DESTINEY JORDAN NPI 1396610671

NPI Information

  • NPI: 1396610671
  • Provider Name: CHERELLE DESTINEY JORDAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 28 CEDAR RD
    AMITYVILLE, NY
    ZIP 11701
  • Phone: (631) 918-2425

Map and Directions

Get Directions

NPI Details

Cherelle Destiney Jordan is a mental health counselor in Amityville, NY. Cherelle Destiney Jordan NPI is 1396610671. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 CEDAR RD
AMITYVILLE, NY
ZIP 11701-302
Phone: (631) 918-2425

The enumeration date for this NPI number is 10/7/2025 and was last updated on 10/24/2025.

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 Health353261NEW YORKYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.