JORDAN SMITH
NPI 1114569118
Counselor - Mental Health in Malvern, AR

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
1628 E PAGE AVE, MALVERN, AR 72104(501) 315-3344 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Oct 16, 2023, Oct 10, 2019 (3 updates tracked since 2019).

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

NPI1114569118
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN SMITH
Location Address1628 E PAGE AVEMalvern, AR 72104-4524
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 10, 2019
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1114569118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1628 E PAGE AVE, Malvern, AR 72104

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3274061502
PECOS Enrollment IDI20250114001254
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.

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.

Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104
Case Manager/Care Coordinator
1628 E PAGE AVE
MALVERN, AR 72104

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.

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 with the weekly NPPES data releases published by CMS.