Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cherelle Destiney Jordan

Individual provider Mental Health Counselor · NPI 1396610671

Cherelle Destiney Jordan is a Mental Health Counselor in Amityville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

28 Cedar Rd
Amityville, NY 11701-1302
Phone: (631) 918-2425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 353261 (NY)

Record details

NPI number1396610671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 7, 2025

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