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MARISSA JORDAN
NPI 1710852124
Counselor - Addiction (Substance Use Disorder) in Apo, AP

Active since October 07, 2025
PSC 307 BOX 2023, APO, AP 96224(315) 737-3612 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Jordan NPPES

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

MARISSA JORDAN (NPI 1710852124) is an individual addiction (substance use disorder) provider in Apo, AP, licensed in Illinois (150.117482) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710852124
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARISSA JORDAN
Location AddressPSC 307 BOX 2023Apo, AP 96224-0021
Mailing AddressPsc 307 Box 2023Apo, AP 96224-0021
Phone(315) 737-3612
Sole ProprietorNo
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1710852124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 150.117482

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 Marissa Jordan's NPI number?

The NPI number for Marissa Jordan is 1710852124. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Marissa Jordan located?

Marissa Jordan practices at Psc 307 Box 2023, Apo, AP 96224. The listed phone number is (315) 737-3612.

What is Marissa Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marissa Jordan was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.