David B Jordan, MHPP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1371 Highway 278 W
Monticello, AR 71655-9663

Phone

(870) 367-2143

Fax

(870) 367-2145

NPI assigned

Aug 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (2 of 9)

Locations

Networks

• TN PPO C-SNP
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• MS PPO D-SNP
• MS PPO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• MS PPO
• TN PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resolutions Behavioral Health Service, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crossett, AR
  • NPI 1992279731

  AR

  Medicare reassignment NPD
• Dayspring Services of Arkansas LLC

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1184847394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1003064460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 BLEAUX AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620737",
            "telephone_number": "479-872-5580",
            "fax_number": "479-872-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 HIGHWAY 278 W",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559663",
            "telephone_number": "870-367-2143",
            "fax_number": "870-367-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MHPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Jones
• Lynda Allison Jones, PTA
• Misty Dawn Jones, LPN
• Andrea Jordan, QBHP
• Candace N Jordan, MS, OTR/L
• Tincy Jordan, OT
• Joseph P. Miles, DDS, PA
• Helen Regina Junior
• Stacy Elizabeth Justice, PT
• Kah Development 4, LLC

• All providers in Monticello, AR
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.