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Deactivated NPI 1164893665 Deactivated / Inactive NPI Female Practitioner

Doris Jordan

Counselor • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Doris Jordan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2015
NPI Deactivation Date April 06, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Doris Jordan was a registered Counselor practicing in Memphis, TN. Throughout an active medical career spanning 5 years, Doris Jordan provided care at the practice location at 4311 FISKE VALLEY DR until profile deactivation on 2020-04-06.

Practice Location & Contact Primary Location

Practice Address

4311 Fiske Valley Dr

Memphis, TN 381359273

Telephone 9012160013
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Memphis, TN (1666 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TN 000539106

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mack Reese

Counselor

NPI 1538532437

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 06, 2020

Record deactivated on April 06, 2020

NPI Profile Active May 12, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 12, 2016

Registered at 4311 FISKE VALLEY DR, MEMPHIS, TN 381359273 (Tel: 9012160013)

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Updated Business Mailing Address May 12, 2016

Registered at 4311 FISKE VALLEY DR, MEMPHIS, TN 381359273 (Tel: 9012160013)

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Provider Name / Credentials Updated May 12, 2016

Recorded as DORIS JORDAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2016

Counselor (License #000539106 in TN)

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Initial NPI Registration & Enumeration October 10, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164893665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2015
Last Update: May 12, 2016
Deactivation Date: April 06, 2020

Mailing Address

4311 Fiske Valley Dr

Memphis, TN 381359273

Phone: 9012160013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.