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

Geancarlo Israel Jordan, MHC-LP

Individual provider Mental Health Counselor · NPI 1508602087

Geancarlo Israel Jordan, MHC-LP is a Mental Health Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

303 5th Ave Rm 1503
New York, NY 10016-6666
Phone: (646) 359-4345
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 18-P118246-01 (NY)

Record details

NPI number1508602087
Entity typeIndividual (Type 1)
GenderMale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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