Active NPI
Jordan Butler, LCPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1487263893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC11127
- Practice address
- George Washington University Charles Smith Center
Washington, DC 20052-0001 - Phone
- (202) 994-0288
- NPI assigned
- Jul 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC200001972 | DC | |
| Professional Counselor | 101YP2500X | LC11127 | MD | Primary |
Addresses
Primary practice location
George Washington University Charles Smith Center
Washington, DC 20052-0001
Mailing address
1125 Madison St Apt 404
Alexandria, VA 22314-6432
Phone (443) 244-1963
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 |
|---|---|---|---|
| PRC200001972 | DC | MD | Mental Health Counselor |
| LC11127 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1487263893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 MADISON ST APT 404",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223146432",
"telephone_number": "443-244-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEORGE WASHINGTON UNIVERSITY CHARLES SMITH CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200520001",
"telephone_number": "202-994-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JORDAN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC200001972",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC11127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.