Individual provider Active NPI

Karri Ann Perry Jordan, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1790281566
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022016841 Issued in MO
Practice address
1736 E Sunshine St Ste 406
Springfield, MO 65804-1330
Phone
(417) 371-6184
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 0701007574 VA
Professional Counselor 101YP2500X 2022016841 MO Primary

Addresses

Primary practice location

1736 E Sunshine St Ste 406
Springfield, MO 65804-1330

Mailing address

1736 E Sunshine St Ste 406
Springfield, MO 65804-1330
Phone (417) 371-6184

Other practice location 1

1228 Progressive Dr
Chesapeake, VA 23320-2846
Phone (757) 436-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 23, 2024 through Oct 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022016841MOMDProfessional Counselor
0701007574VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Behavioral Health, LLC Professional Current Accepting new patients

Locations

1736 E Sunshine St
Ste 406
Springfield, MO 65804
Phone (417) 371-6184

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1790281566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 406",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041330",
            "telephone_number": "417-371-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 406",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041330",
            "telephone_number": "417-371-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 Progressive Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202846",
            "country_code": "US",
            "telephone_number": "757-436-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KARRI",
        "middle_name": "ANN PERRY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007574",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022016841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.