OrganizationActive
Jordan Community Residential
NPI 1467098822 · Mental Health Counselor · Willoughby, OH
Provider details
- NPI number
- 1467098822
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tenisha Gant, Chief Executive Officer(216) 441-2496
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30841 Euclid Ave Ste 103
Willoughby, OH 44094-3100
Phone: (216) 441-2496
Fax: (216) 634-9611
Street-level locationGet directions
Mailing address
30841 Euclid Ave Ste 103
Willoughby, OH 44094-3100
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2024-04-26
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.