Active NPI
Beth N Jordan, M.ED.; LPCC
- Professional Counselor
- Paducah, KY
National Provider Identifier
1336486471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCPCC00223768
- Practice address
- 2850 Adams St
Suite 11
Paducah, KY 42001-4109 - Phone
- (270) 804-9602
- NPI assigned
- Jan 9, 2013
- 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 | LPCPCC00223768 | KY | Primary |
Addresses
Primary practice location
2850 Adams St
Suite 11
Paducah, KY 42001-4109
Mailing address
2821 Adams St
Paducah, KY 42001-4136
Phone (270) 804-9602
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 |
|---|---|---|---|
| LPCPCC00223768 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1336486471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 ADAMS ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014136",
"telephone_number": "270-804-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 ADAMS ST",
"address_2": "SUITE 11",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014109",
"telephone_number": "270-804-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BETH",
"middle_name": "N",
"credential": "M.ED.; LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "LPCPCC00223768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.