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ELEACIA LERAYNE JORDAN
NPI 1902690977
Peer Specialist in Stilwell, OK

Active since April 07, 2025
611 N 4TH ST, STILWELL, OK 74960(918) 696-6212 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eleacia Lerayne Jordan NPPES

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

ELEACIA LERAYNE JORDAN (NPI 1902690977) is an individual peer specialist in Stilwell, Oklahoma and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1902690977
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameELEACIA LERAYNE JORDAN
Location Address611 N 4TH STStilwell, OK 74960-2417
Mailing Address611 N 4th StStilwell, OK 74960-2417 · (918) 696-6212
Phone(918) 696-6212
Sole ProprietorYes
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1902690977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
611 N 4TH ST, Stilwell, OK 74960
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Other Providers at the Same Location NPPES 18

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

EMMA ELAINE HATFIELD
Case Manager/Care Coordinator
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212
DEBRAH J GOFF
Case Manager/Care Coordinator
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 969-6212
JACLYN RACKLEY
Counselor (Mental Health)
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212
MRS. JILLIAN MARIE HAWKINS
Counselor
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212
HAILEY D FIELDS
Case Manager/Care Coordinator
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212
KELLI LEE LEE
Counselor
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6213
MRS. MEGAN O GUTHRIE
Case Manager/Care Coordinator
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212
KIMBERLY JO DUNCAN
Peer Specialist
611 N 4TH ST
STILWELL, OK 74960
Adair County (918) 696-6212

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 Eleacia Jordan's NPI number?

The NPI number for Eleacia Jordan is 1902690977. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Eleacia Jordan located?

Eleacia Jordan practices at 611 N 4th St, Stilwell, OK 74960. The listed phone number is (918) 696-6212.

What is Eleacia Jordan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Eleacia Jordan was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.