Individual provider Active NPI

Jordan Anthony McClain, LMBT

  • Massage Therapist
  • Matthews, NC
National Provider Identifier
1346037173
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15022 Issued in NC
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

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
15022NCMDMental 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.

Verify at the official NPI Registry.