JORDAN ELI KWAMANAKWEENDA PSYD
NPI 1124919733
Psychologist - Clinical in Murray, UT

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment
5965 S 900 E STE 100, MURRAY, UT 84121(888) 762-7938 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Eli Kwamanakweenda Psyd NPPES

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

JORDAN ELI KWAMANAKWEENDA PSYD (NPI 1124919733) is an individual clinical provider in Murray, Utah, licensed in Utah (13571777-2501) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124919733
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJORDAN ELI KWAMANAKWEENDACredential: PSYD
Location Address5965 S 900 E STE 100Murray, UT 84121-1850
Mailing Address1700 W 1750 S, 306Salt Lake City, UT 84104-8410 · (717) 283-6384
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 11, 2025
NPPES CertifiedJune 26, 2025
NPI 1124919733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in UT · 13571777-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5965 S 900 E STE 100, Murray, UT 84121

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 Eli Kwamanakweenda Psyd 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 ID7810499811
PECOS Enrollment IDI20250909000148
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker
5965 S 900 E STE 100
MURRAY, UT 84121
Counselor (Mental Health)
5965 S 900 E STE 100
MURRAY, UT 84121
Counselor (Mental Health)
5965 S 900 E STE 100
MURRAY, UT 84121
Counselor (Mental Health)
5965 S 900 E STE 100
MURRAY, UT 84121
Social Worker (Clinical)
5965 S 900 E STE 100
MURRAY, UT 84121
Psychiatry & Neurology (Psychiatry)
5965 S 900 E STE 100
MURRAY, UT 84121
Social Worker
5965 S 900 E STE 100
MURRAY, UT 84121
Psychologist (Clinical)
5965 S 900 E STE 100
MURRAY, UT 84121

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 Kwamanakweenda's NPI number?

The NPI number for Jordan Kwamanakweenda is 1124919733. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Jordan Kwamanakweenda located?

Jordan Kwamanakweenda practices at 5965 S 900 E Ste 100, Murray, UT 84121. The listed phone number is (888) 762-7938.

What is Jordan Kwamanakweenda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jordan Kwamanakweenda enrolled in Medicare?

Yes. Jordan Kwamanakweenda 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 Kwamanakweenda accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jordan Kwamanakweenda 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 Kwamanakweenda was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.