Jordan Jones

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

40723 Issued in TX

Practice address

115 E Main St
Henderson, TX 75652-3167

Phone

(903) 646-1326

NPI assigned

Apr 29, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Morgan Counseling and Assessment

  • Clinical Psychologist
  • Henderson, TX
  • NPI 1568714244
  NPD
• KC Creek Equestrian, LLC

  • Clinical Psychologist
  • Henderson, TX
  • NPI 1174086714
  NPD (past)

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1245028257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523167",
            "telephone_number": "903-646-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523167",
            "telephone_number": "903-646-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalopy Shoppe, Inc.
• Jeff D Miller Investments, LLC
• John T. Melvin, M.D. & Associates
• Mary L. Johnson, MANAGER
• Shannon Johnson
• Laurie Jones
• Destini Arlene Jordan, LPC-A
• Oquisha Lashay Jordan, COTA
• Rosie Ann Jordan, ADMINISTRATOR
• Alicia Juarez, APRN-CNP

• Clinical Psychologist in Henderson, TX
• Providers in Henderson, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.