Jordan Nicole Roels, LCMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17823 Issued in NC

Practice address

860 W 5TH St
Winston Salem, NC 27101-2506

Phone

(336) 310-9515

NPI assigned

Jul 5, 2023

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 Services of Davidson County, Inc

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1083791966
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1992482590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W 5TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012506",
            "telephone_number": "336-310-9515",
            "fax_number": "335-780-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W 5TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012506",
            "telephone_number": "336-310-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELS",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elena Rodriguez
• Patricia Simmons Rodriguez, PMHNP
• Rainer Rodriguez, MD
• Vanessa Rodriguez
• Christina Roels
• Melissa P Rogan, MACCSLP
• Roger a. Kalthoff, PH.D., P.a.
• Roger N Reynolds 111 DDS Ms PA
• Rogers Counseling and Consultation, PLLC
• Aaliyah Rogers

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.