Individual provider Active NPI

Jordan J Pakis, LPC

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1780345520
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2505001 Issued in AR
Practice address
3901 McCain Park Dr Ste 102
North Little Rock, AR 72116-7849
Phone
(501) 771-8261
Fax
(501) 771-8263
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2505001 AR Primary
Counselor 101Y00000X A2310001 AR

Addresses

Primary practice location

3901 McCain Park Dr Ste 102
North Little Rock, AR 72116-7849

Mailing address

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Phone (501) 821-5500

Other practice location 1

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Phone (501) 821-5500

Other practice location 2

1210 Wolfe St
Little Rock, AR 72202-4618
Phone (501) 364-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250523002725 AR Practitioner - Mental Health Counselor 5597284398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2310001ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1210 Wolfe St
Little Rock, AR 72202
Phone (501) 364-3889

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

3901 McCain Park Dr
Ste 102
North Little Rock, AR 72116
Phone (501) 771-8261

Organizations & group practices 3

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1780345520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105323",
            "telephone_number": "501-821-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MCCAIN PARK DR STE 102",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167849",
            "telephone_number": "501-771-8261",
            "fax_number": "501-771-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20400 Colonel Glenn Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722105323",
            "country_code": "US",
            "telephone_number": "501-821-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722024618",
            "country_code": "US",
            "telephone_number": "501-364-5150",
            "fax_number": "501-364-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKIS",
        "first_name": "JORDAN",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2505001",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2310001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.