Organization Active NPI

Jordan Conklin, LMFT, PLLC

  • Marriage & Family Therapist
  • Wilmington, NC
National Provider Identifier
1770488967
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JORDAN CONKLIN, LMFT, PLLC
Practice address
2512 Independence Blvd Ste 100-54
Wilmington, NC 28412-2571
Phone
(910) 777-7597
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Jordan Conklin, LMFTNPI 1831906841
Title
Owner
Phone
(910) 777-7597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2512 Independence Blvd Ste 100-54
Wilmington, NC 28412-2571

Mailing address

609 Piner Rd Ste a
579
Wilmington, NC 28409-4201
Phone (910) 777-7597

National Provider Directory

National Provider Directory

Locations

2512 Independence Blvd
Ste 10054
Wilmington, NC 28412
Phone (910) 777-7597

609 Piner Rd
Ste A
Wilmington, NC 28409
Phone (360) 903-5895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1770488967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PINER RD STE A",
            "address_2": "579",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094201",
            "telephone_number": "910-777-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 INDEPENDENCE BLVD STE 100-54",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122571",
            "telephone_number": "910-777-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CONKLIN, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-777-7597",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.