JORDAN MARY KILLIAN LCMHCA
NPI 1033996442
Counselor - Mental Health in Wilmington, NC
About Jordan Mary Killian Lcmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN MARY KILLIAN LCMHCA (NPI 1033996442) is an individual mental health provider in Wilmington, North Carolina, licensed in North Carolina (A19153) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Mary Killian Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Killian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Killian's NPI number?
The NPI number for Jordan Killian is 1033996442. It was assigned to this individual provider in the NPPES registry on September 11, 2023.
Where is Jordan Killian located?
Jordan Killian practices at 4302 Wrightsville Ave, Wilmington, NC 28403. The listed phone number is (910) 248-4530.
What is Jordan Killian's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Killian enrolled in Medicare?
Yes. Jordan Killian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Killian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Killian reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Killian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Killian accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jordan Killian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan Killian was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan Mary Killian, LCMHCA · NPI 1033996442
Mental Health provider in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1033996442 (Entity type: Individual)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A19153 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4302 WRIGHTSVILLE AVE, Wilmington, NC 28403-6336
- **Phone:** (910) 248-4530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033996442) · Data from the CMS NPPES public registry.