TERRY GLEN JORDAN MS, LPC
NPI 1063008712
Counselor - Mental Health in Lake Providence, LA

Q: What is Terry Jordan's NPI number?

The NPI number for Terry Jordan is 1063008712. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Terry Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Terry Jordan was last updated on July 5, 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.

Active since December 16, 2020PECOS Enrolled

500 LAKE ST STE B, LAKE PROVIDENCE, LA 71254(318) 552-5016 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Feb 7, 2023, Dec 16, 2020 (3 updates tracked since 2020).

On this page

About Terry Glen Jordan Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRY GLEN JORDAN MS, LPC (NPI 1063008712) is an individual mental health provider in Lake Providence, Louisiana, licensed in Louisiana (8116) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Grove, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063008712

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTERRY GLEN JORDANCredential: MS, LPC

Location Address500 LAKE ST STE BLake Providence, LA 71254-2550

Mailing AddressPo Box 1307Oak Grove, LA 71263-1307 · (318) 680-4683

Phone(318) 552-5016

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 16, 2020

Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1063008712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in LA · 8116

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8116 (LA)

500 LAKE ST STE B, Lake Providence, LA 71254

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Secondary Practice Location 1

Location 1144 Horton LnOak Grove, LA 71263-8668 · Phone (318) 680-4683

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Glen Jordan Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981132289

PECOS Enrollment IDI20250117003598

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Terry Jordan's NPI number?

The NPI number for Terry Jordan is 1063008712. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Terry Jordan located?

Terry Jordan practices at 500 Lake St Ste B, Lake Providence, LA 71254. The listed phone number is (318) 552-5016.

What is Terry Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Terry Jordan enrolled in Medicare?

Yes. Terry Jordan is registered in the Medicare PECOS enrollment system.

What insurance does Terry Jordan accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Terry Jordan 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 Terry Jordan was last updated on July 5, 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.