P Praxis·MD
● Active Type 1 · Individual

MRS. Clevevoya Daletrease Jordan, LPC, NCC

Counselor·Hiram, GA· NPI 1548484132 · Enumerated 2007 · 19 years on NPI
Jordan is 1 of 38 counselor providers in Hiram and 1 of 7547 in Georgia.
NPI age
19 years
Enumerated 2007-04-13
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
127 Enterprise Path Ste 401
Hiram, GA 301412698
📞 7702226622fax 4042841804
Mailing address
2506 Greenville Way
Decatur, GA 300341861
📞 6788876613fax 4042841804

Specialties

  • Counselor Primary
    Definition to come...
    GA license #0003921 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new counselor providers have been added in Hiram in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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