Healthcare Provider Details

I. General information

NPI: 1316737893
Provider Name (Legal Business Name): JORDAN ELIZABETH CRONBAUGH-JONES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN ELIZABETH CRONBAUGH LMHC

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 CORPORATE DR STE N
JOHNSTON IA
50131-1659
US

IV. Provider business mailing address

6701 CORPORATE DR STE N
JOHNSTON IA
50131-1659
US

V. Phone/Fax

Practice location:
  • Phone: 515-216-0113
  • Fax:
Mailing address:
  • Phone: 515-216-0113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number117257
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: