Kelsey Jean Jordan, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11142 Issued in NE

Practice address

3005 19TH St
Suite 700
Columbus, NE 68601-4248

Phone

(402) 606-3084

Fax

(402) 606-4693

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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 NE

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Valley Behavioral Health Inc 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508

  NE

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1114453073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 19TH ST",
            "address_2": "SUITE 700",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014248",
            "telephone_number": "402-606-3084",
            "fax_number": "402-606-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 19TH ST",
            "address_2": "SUITE 700",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014248",
            "telephone_number": "402-606-3084",
            "fax_number": "402-606-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KELSEY",
        "middle_name": "JEAN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "11142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Johnson, LMHP CPC
• Thomas M Johnson, BACHELORS DEGREE
• Brynley Johnston, MS, CCC-SLP
• Nicole Lynnette Jones, LMT
• Taylor May Jones
• Timothy J Joyce, HIS
• Veronica Juarez
• Linda Juranek
• K E G Inc
• Reghan Lin Kabes

• All providers in Columbus, NE
• Marriage & Family Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.