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CHERELLE DESTINEY JORDAN
NPI 1396610671
Counselor - Mental Health in Amityville, NY

Active since October 07, 2025
28 CEDAR RD, AMITYVILLE, NY 11701(631) 918-2425 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cherelle Destiney Jordan NPPES

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

CHERELLE DESTINEY JORDAN (NPI 1396610671) is an individual mental health provider in Amityville, New York, licensed in New York (353261) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1396610671
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHERELLE DESTINEY JORDAN
Location Address28 CEDAR RDAmityville, NY 11701-1302
Mailing Address28 Cedar RdAmityville, NY 11701-1302
Phone(631) 918-2425
Sole ProprietorYes
Enumeration DateOctober 7, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1396610671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 353261
28 CEDAR RD, Amityville, NY 11701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Cherelle Jordan's NPI number?

The NPI number for Cherelle Jordan is 1396610671. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Cherelle Jordan located?

Cherelle Jordan practices at 28 Cedar Rd, Amityville, NY 11701. The listed phone number is (631) 918-2425.

What is Cherelle 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 Cherelle Jordan was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.