JORDAN SMITH
NPI 1114569118
Counselor - Mental Health in Malvern, AR
About Jordan Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN SMITH (NPI 1114569118) is an individual mental health provider in Malvern, Arkansas and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 and accepts Medicare assignment
Jordan Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Malvern, AR 72104
- Reassigned Medicare billing, Arkansas enrollment
- 26 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Smith's NPI number?
The NPI number for Jordan Smith is 1114569118. It was assigned to this individual provider in the NPPES registry on October 10, 2019.
Where is Jordan Smith located?
Jordan Smith practices at 1628 E Page Ave, Malvern, AR 72104. The listed phone number is (501) 315-3344.
What is Jordan Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Smith enrolled in Medicare?
Yes. Jordan Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jordan Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Smith reassigns Medicare benefits to Birch Tree Communities, Inc (Malvern, AR). 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Smith accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jordan Smith 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 Smith was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 Smith · NPI 1114569118
Mental Health provider in Malvern, Arkansas. Individual provider, active in the CMS NPPES registry since October 10, 2019.
## Identity
- **NPI:** 1114569118 (Entity type: Individual)
- **Enumerated:** October 10, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1628 E PAGE AVE, Malvern, AR 72104-4524
- **Phone:** (501) 315-3344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Birch Tree Communities, Inc (NPI 1316197304, Malvern, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114569118) · Data from the CMS NPPES public registry.