JORDAN BECKUM
NPI 1093457376
Counselor - Mental Health in Roswell, GA

Active since April 08, 2022
1125 PENNY LN, ROSWELL, GA 30076(770) 402-4952 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Beckum NPPES

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

JORDAN BECKUM (NPI 1093457376) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (APC007810) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1093457376
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN BECKUM
Location Address1125 PENNY LNRoswell, GA 30076-3924
Mailing Address2786 Woodland Ter SeSmyrna, GA 30080-2628
Sole ProprietorNo
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1093457376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · APC007810
1125 PENNY LN, Roswell, GA 30076

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Professional)
1125 PENNY LN
ROSWELL, GA 30076
Counselor (Mental Health)
1125 PENNY LN
ROSWELL, GA 30076

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 Beckum's NPI number?

The NPI number for Jordan Beckum is 1093457376. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Jordan Beckum located?

Jordan Beckum practices at 1125 Penny Ln, Roswell, GA 30076. The listed phone number is (770) 402-4952.

What is Jordan Beckum's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Beckum was last updated on April 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.