Jordan Neeley, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A2512005A Issued in AR

Practice address

1404 E Church St
Warren, AR 71671-3528

Phone

(870) 226-5856

NPI assigned

Mar 6, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1295533941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 NEELEY RD",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716399556",
            "telephone_number": "870-377-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E CHURCH ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713528",
            "telephone_number": "870-226-5856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Highway 65 S",
            "address_purpose": "LOCATION",
            "city": "Dumas",
            "state": "AR",
            "postal_code": "716393003",
            "country_code": "US",
            "telephone_number": "870-382-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "JORDAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2512005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Health Services, LLC
• Felicia Mitchell, QBHP
• Ariyana N Morris
• MVP Warren LLC
• MVP Warren LLC
• Keith Newton
• Arthur Nieto Jr., M.D.
• Tabitha Norris, DVM
• Jay Wendell Nowlin
• Ralph Edward O'Neal

• All providers in Warren, AR
• Counselor in Arkansas

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