Active NPI
Blanche Jordan
- Professional Counselor
- Brandon, MS
National Provider Identifier
1053229252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PLC-1066
- Practice address
- 224 Avalon Cir
Brandon, MS 39047-7848 - Phone
- (601) 942-5382
- NPI assigned
- Aug 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PLC-1066 | MS | Primary |
Addresses
Primary practice location
224 Avalon Cir
Brandon, MS 39047-7848
Mailing address
224 Avalon Cir
Brandon, MS 39047-7848
Phone (601) 942-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1053229252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 AVALON CIR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477848",
"telephone_number": "601-942-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 AVALON CIR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477848",
"telephone_number": "601-942-5382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BLANCHE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "PLC-1066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.