KELLY JORDAN
NPI 1124576426
Counselor - Mental Health in Pittsburg, CA

Active since September 14, 2016
51 MARINA BLVD, PITTSBURG, CA 94565(925) 521-1270 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jordan NPPES

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

KELLY JORDAN (NPI 1124576426) is an individual mental health provider in Pittsburg, California and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1124576426
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JORDAN
Location Address51 MARINA BLVDPittsburg, CA 94565-2068
Mailing Address1266 14th StOakland, CA 94607-2205 · (510) 273-4700
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
NPI 1124576426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
51 MARINA BLVD, Pittsburg, CA 94565

Other Names 1

Former Name (1)Kelly Marie Evans

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
51 MARINA BLVD
PITTSBURG, CA 94565
Student in an Organized Health Care Education/Training Program
51 MARINA BLVD
PITTSBURG, CA 94565
Social Worker
51 MARINA BLVD, STE. D & F
PITTSBURG, CA 94565
Student in an Organized Health Care Education/Training Program
51 MARINA BLVD
PITTSBURG, CA 94565
Community/Behavioral Health
51 MARINA BLVD
PITTSBURG, CA 94565
Marriage & Family Therapist
51 MARINA BLVD
PITTSBURG, CA 94565
Counselor
51 MARINA BLVD
PITTSBURG, CA 94565
Social Worker
51 MARINA BLVD
PITTSBURG, CA 94565

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 Kelly Jordan's NPI number?

The NPI number for Kelly Jordan is 1124576426. It was assigned to this individual provider in the NPPES registry on September 14, 2016. The provider is also known as Kelly Marie Evans.

Where is Kelly Jordan located?

Kelly Jordan practices at 51 Marina Blvd, Pittsburg, CA 94565. The listed phone number is (925) 521-1270.

What is Kelly Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Jordan was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.