JORDAN NICOLE SHORE LCMHCA
NPI 1174301139
Counselor - Professional in Ronda, NC

Active since September 20, 2023
14072 ELKIN HIGHWAY 268, RONDA, NC 28670(336) 827-0089(844) 676-0500 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Nicole Shore Lcmhca NPPES

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

JORDAN NICOLE SHORE LCMHCA (NPI 1174301139) is an individual professional provider in Ronda, North Carolina, licensed in North Carolina (A19232) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1174301139
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN NICOLE SHORECredential: LCMHCA
Location Address14072 ELKIN HIGHWAY 268Ronda, NC 28670-9199
Mailing Address4420 Us 21 HwyHamptonville, NC 27020-7319 · (336) 244-0273
Fax(844) 676-0500
Sole ProprietorYes
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1174301139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A19232
14072 ELKIN HIGHWAY 268, Ronda, NC 28670

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Community/Behavioral Health
14072 ELKIN HIGHWAY 268
RONDA, NC 28670
Counselor (Professional)
14072 ELKIN HIGHWAY 268
RONDA, NC 28670
Counselor (Professional)
14072 ELKIN HIGHWAY 268
RONDA, NC 28670
Social Worker (Clinical)
14072 ELKIN HIGHWAY 268
RONDA, NC 28670
Counselor (Professional)
14072 ELKIN HIGHWAY 268
RONDA, NC 28670
Counselor (Professional)
14072 ELKIN HIGHWAY 268
RONDA, NC 28670

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 Shore's NPI number?

The NPI number for Jordan Shore is 1174301139. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Jordan Shore located?

Jordan Shore practices at 14072 Elkin Highway 268, Ronda, NC 28670. The listed phone number is (336) 827-0089.

What is Jordan Shore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jordan Shore accept?

Health plans from Blue Cross and Blue Shield of NC list Jordan Shore 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 Shore was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.