Provider Demographics
NPI:1992162986
Name:MEALEY, JORDAN (MA, LPC, NCC, ACS)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:
Last Name:MEALEY
Suffix:
Gender:F
Credentials:MA, LPC, NCC, ACS
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:DEGROAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 S MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1787
Mailing Address - Country:US
Mailing Address - Phone:908-923-3969
Mailing Address - Fax:
Practice Address - Street 1:270 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1787
Practice Address - Country:US
Practice Address - Phone:908-923-3969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00538800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional