| Njordancounseling | |
|
6615 Flora Ave Kansas City MO 64131-1409 | |
| (816) 514-1087 | |
| Not Available |
| Full Name | Njordancounseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 6615 Flora Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Nicholas Jordan (THERAPIST/OWNER) |
| Authorized Official Contact | 8165141087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Njordancounseling 6615 Flora Ave Kansas City MO 64131-1409 Ph: (816) 514-1087 | Njordancounseling 6615 Flora Ave Kansas City MO 64131-1409 Ph: (816) 514-1087 |
| NPI Number | 1891566253 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3072956705 |
|---|---|
| Medicare Enrollment ID | O20240208003964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891566253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicholas Brewer Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720667538 PECOS PAC ID: 4981047610 Enrollment ID: I20240208004013 |
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