Individual provider Active NPI

Jennifer Linda Jordan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1861632176
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024179751 Issued in VA
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

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210816001194 DC Practitioner - Nurse Practitioner 6103221098 Reassigns benefits to 2 organizations
I20210825002162 VA Practitioner - Nurse Practitioner 6103221098 Reassigns benefits to 1 organization

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
Neuropsych Wellness Center, PCGroup PAC ID 9335271725, 22 clinicians

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

LicenseStateTypeSpecialty
RN727829CAMDRegistered Nurse
184613COMDRegistered Nurse
RN1007817DCMDRegistered Nurse
0024179751VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Psychiatry of Northern Virginia Psychiatric/Mental Health Current Accepting new patients
Psychogeriatric Services LLC CurrentSince Aug 5, 2021 Accepting new patients
Neuropsych Wellness Center, PC CurrentSince May 16, 2022 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.

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

Verify at the official NPI Registry.