Active NPI
Jordan Anthony McClain, LMBT
- Massage Therapist
- Matthews, NC
National Provider Identifier
1346037173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15022
- Practice address
- 7928 Council PL Ste 106
Matthews, NC 28105-5154 - Phone
- (704) 689-0024
- NPI assigned
- Apr 23, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15022 | NC | Primary |
Addresses
Primary practice location
7928 Council PL Ste 106
Matthews, NC 28105-5154
Mailing address
10339 Gold Pan Rd
Charlotte, NC 28215-8640
Phone (704) 689-0024
Other names 1
- Mr. Jordan Anthony McClain
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 |
|---|---|---|---|
| 15022 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1346037173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10339 GOLD PAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158640",
"telephone_number": "704-689-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7928 COUNCIL PL STE 106",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055154",
"telephone_number": "704-689-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "JORDAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LMBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "MCCLAIN",
"middle_name": "ANTHONY",
"prefix": "MR.",
"credential": "LMBT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.