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LIZZETTE M. JORDAN
NPI 1043705155
Peer Specialist in Cleveland, OH

Active since June 30, 2018
12104 OAKFIELD AVE, CLEVELAND, OH 44105(216) 571-0372 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2019, Jun 30, 2018 (2 updates tracked since 2018).

About Lizzette M. Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZZETTE M. JORDAN (NPI 1043705155) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (1369) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1043705155
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLIZZETTE M. JORDAN
Location Address12104 OAKFIELD AVECleveland, OH 44105-1929
Mailing Address12104 Oakfield AveCleveland, OH 44105-1929 · (216) 571-0372
Phone(216) 571-0372
Sole ProprietorYes
Enumeration DateJune 30, 2018
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1043705155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 1369
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X · License CDCARJ811021 (OH)
12104 OAKFIELD AVE, Cleveland, OH 44105
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lizzette Jordan's NPI number?

The NPI number for Lizzette Jordan is 1043705155. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Lizzette Jordan located?

Lizzette Jordan practices at 12104 Oakfield Ave, Cleveland, OH 44105. The listed phone number is (216) 571-0372.

What is Lizzette Jordan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lizzette Jordan was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.