Individual provider Active NPI

Jordan Vann, LPC

  • Professional Counselor
  • Hoover, AL
National Provider Identifier
1699300111
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4186 Issued in AL
Practice address
2266 S Sherrlyn Dr
Hoover, AL 35226-1716
Phone
(205) 644-2811
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4186 AL Primary

Addresses

Primary practice location

2266 S Sherrlyn Dr
Hoover, AL 35226-1716

Mailing address

2266 S Sherrlyn Dr
Hoover, AL 35226-1716

Other practice location 1

9064 Helena Rd
Pelham, AL 35124-2737
Phone (205) 644-1166

Other identifiers 2

IdentifierTypeStateIssuer
4186OtherALLPC
871047OtherNCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001184 AL Practitioner - Mental Health Counselor 4486007523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health Services, LLCGroup PAC ID 0648503615, 8 clinicians

Practice addresses (Care Compare)

9064 Helena Rd
Pelham, AL 35124-2737
Phone (205) 644-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4186ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

9064 Helena Rd
Pelham, AL 35124
Phone (205) 644-1166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1699300111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S SHERRLYN DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S SHERRLYN DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261716",
            "telephone_number": "205-644-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9064 Helena Rd",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242737",
            "country_code": "US",
            "telephone_number": "205-644-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "JORDAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4186",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC",
            "identifier": "871047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.