JORDAN HA AMFT - NPI 1689237588 - Marriage & Family Therapist in Costa Mesa, CA

Q: What is Jordan Ha's NPI number?

The NPI number for Jordan Ha is 1689237588. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Jordan Ha's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Ha was last updated on April 29, 2020. 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.

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About Jordan Ha Amft NPPES

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

JORDAN HA AMFT (NPI 1689237588) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (99120) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689237588

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJORDAN HACredential: AMFT

Location Address985 VICTORIA STCosta Mesa, CA 92627-4067

Mailing Address2390 E Orangewood Ave Ste 300Anaheim, CA 92806-6138 · (714) 543-4333

Phone(949) 646-3489

Fax(949) 646-5148

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 16, 2019

Last NPPES UpdateApril 29, 20202 updates tracked since enumeration

NPPES CertifiedApril 29, 2020

✔ NPI 1689237588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 99120

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

985 VICTORIA ST, Costa Mesa, CA 92627

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Ha Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446753784

PECOS Enrollment IDI20250911004451

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SIERRA ALYSSA RAMIREZ,

Counselor (Mental Health)