Active NPI
Jennifer Linda Jordan, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024179751
- Practice address
- 1737 King St Ste 330
Alexandria, VA 22314-2760 - Phone
- (571) 487-7529
- Fax
- (571) 339-0851
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN727829 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024179751 | VA | Primary |
| Registered Nurse | 163W00000X | RN1007817 | DC | |
| Registered Nurse | 163W00000X | 184613 | CO |
Addresses
Primary practice location
1737 King St Ste 330
Alexandria, VA 22314-2760
Mailing address
1737 King St Ste 330
Alexandria, VA 22314-2760
Phone (571) 487-7529
Other names 1
- Jennifer Linda Mace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3930 Pender Dr
Suite 240
Fairfax, VA 22030-0986
Phone (703) 865-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN727829 | CA | MD | Registered Nurse |
| 184613 | CO | MD | Registered Nurse |
| RN1007817 | DC | MD | Registered Nurse |
| 0024179751 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bespoke Psychiatry of Northern Virginia | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Neuropsych Wellness Center, PC | Current | Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
1737 King St
Ste 330
Alexandria, VA 22314
Phone (202) 240-7883
3930 Pender Dr
Ste 240
Fairfax, VA 22030
Phone (703) 865-8686
3930 Pender Dr
Ste 350
Fairfax, VA 22030
Phone (703) 865-6565
8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, VA
- NPI 1104768878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1861632176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 KING ST STE 330",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142760",
"telephone_number": "571-487-7529",
"fax_number": "571-339-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 KING ST STE 330",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142760",
"telephone_number": "571-487-7529",
"fax_number": "571-339-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JENNIFER",
"middle_name": "LINDA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN727829",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024179751",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1007817",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "184613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MACE",
"middle_name": "LINDA",
"credential": "PMHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.