Active NPI
Bobbi Jordan, LPC
- Professional Counselor
- Denham Springs, LA
National Provider Identifier
1003524778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC9058
- Practice address
- 30826 Linder Rd
Denham Springs, LA 70726 - Phone
- (225) 665-7878
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC9058 | LA | |
| Professional Counselor | 101YP2500X | 9058 | LA | |
| Professional Counselor | 101YP2500X | LPC9058 | LA | Primary |
Addresses
Primary practice location
30826 Linder Rd
Denham Springs, LA 70726
Mailing address
1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (225) 776-7156
Other practice location 1
8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Phone (225) 929-9738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC9058 | LA | MD | Mental Health Counselor |
| LPC9058 | LA | MD | Professional Counselor |
| 9058 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revital Path Counseling LLC | Mental Health | Current | Accepting new patients |
| Spectrum Rehab Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Plaquemine, LA
- NPI 1275425456
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denham Springs, LA
- NPI 1356493530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1003524778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHINABERRY DR STE 900",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112455",
"telephone_number": "225-776-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30826 LINDER RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "70726",
"telephone_number": "225-665-7878"
}
],
"practiceLocations": [
{
"address_1": "8326 Kelwood Ave",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708064803",
"country_code": "US",
"telephone_number": "225-929-9738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "BOBBI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC9058",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9058",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC9058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.