Jordan Community Residential
NPI 1467098822ActiveOrganization· Counselor, Mental Health· Willoughby, OH
Counselor, Mental Health in Willoughby, Ohio, registered in NPPES in November 2019. The authorized official on file is Tenisha Gant, Chief Executive Officer.
Overview
| NPI | 1467098822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2019 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Apr 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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