Jordan Conklin, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

20395A Issued in NC

Practice address

890 S Kerr Ave Ste 250
Wilmington, NC 28403-2573

Phone

(919) 909-1230

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Solutions & Wellness Center

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1417355561
  NPD (past)

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1831906841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 WISTERIA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017321",
            "telephone_number": "336-404-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S KERR AVE STE 250",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032573",
            "telephone_number": "919-909-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "JORDAN",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Marie Conard
• Renata Conde-Zuege, FNP
• Amy Elizabeth Condon, OTL
• Gethan Condron, DPT
• Confident Hope Counseling, PLLC
• Martin James Conley Jr., MD
• Elizabeth Conmy, MA, LPA
• Connections Physical Therapy, LLC
• Catherine Elizabeth Connell, PT, DPT
• Andrea H Conner, LPA

• Marriage & Family Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.