Individual provider Active NPI

Hally Jordan, M.ED. ALC

  • Mental Health Counselor
  • Fairbanks, AK
National Provider Identifier
1568375434
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
260391 Issued in AK
Practice address
2111 Cowles St
Fairbanks, AK 99701-5918
Phone
(907) 458-2644
Fax
(907) 459-3521
NPI assigned
Sep 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 260391 AK Primary

Addresses

Primary practice location

2111 Cowles St
Fairbanks, AK 99701-5918

Mailing address

2111 Cowles St
Fairbanks, AK 99701-5918
Phone (907) 458-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1568375434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015918",
            "telephone_number": "907-458-2644",
            "fax_number": "907-459-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015918",
            "telephone_number": "907-458-2644",
            "fax_number": "907-459-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "HALLY",
        "credential": "M.ED. ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "260391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.