JORDAN ELIZABETH DALE IRELAND MFTI
NPI 1063910156
Marriage & Family Therapist in Chino, CA
About Jordan Elizabeth Dale Ireland Mfti NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ELIZABETH DALE IRELAND MFTI (NPI 1063910156) is an individual marriage & family therapist in Chino, California, licensed in California (148454) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Elizabeth Dale Ireland Mfti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Ireland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jordan Ireland's NPI number?
The NPI number for Jordan Ireland is 1063910156. It was assigned to this individual provider in the NPPES registry on January 24, 2018.
Where is Jordan Ireland located?
Jordan Ireland practices at 5353 G St, Chino, CA 91710. The listed phone number is (909) 590-3700.
What is Jordan Ireland's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jordan Ireland enrolled in Medicare?
Yes. Jordan Ireland is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Ireland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Ireland reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Ireland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Ireland was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jordan Elizabeth Dale Ireland, MFTI · NPI 1063910156
Marriage & Family Therapist provider in Chino, California. Individual provider, active in the CMS NPPES registry since January 24, 2018.
## Identity
- **NPI:** 1063910156 (Entity type: Individual)
- **Enumerated:** January 24, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 148454 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5353 G ST, Chino, CA 91710-5250
- **Phone:** (909) 590-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cyti Health PC (NPI 1679172290, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063910156) · Data from the CMS NPPES public registry.