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JORDAN ROLAND LCSW
NPI 1184510372
Social Worker - Clinical in Gulfport, MS

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment
1613 23RD AVE, GULFPORT, MS 39501(228) 284-4651 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Jun 16, 2025 (2 updates tracked since 2025).

About Jordan Roland Lcsw NPPES

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

JORDAN ROLAND LCSW (NPI 1184510372) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C11909) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184510372
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN ROLANDCredential: LCSW
Location Address1613 23RD AVEGulfport, MS 39501-2960
Mailing Address1955 Kornman DrBiloxi, MS 39532-2001 · (228) 273-5888
Phone(228) 284-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2025
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1184510372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C11909
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1613 23RD AVE, Gulfport, MS 39501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Oscar Health Plan, Inc. and more.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 Roland Lcsw 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 ID4082199187
PECOS Enrollment IDI20260326002957
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Roland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Matters
Same address
Psychiatric/Mental Health
1613 23RD AVENUE
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 9 clinicians in this Medicare group
NPI 1477003028 (228) 284-4651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 2

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

JOANNIE EVANS APRN
Nurse Practitioner (Psychiatric/Mental Health)
1613 23RD AVE
GULFPORT, MS 39501
Harrison County (228) 284-4651
JESSICA NICOLE CAMPBELL M.S., NCC
Counselor
1613 23RD AVE
GULFPORT, MS 39501
Harrison County (228) 284-4651

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 Roland's NPI number?

The NPI number for Jordan Roland is 1184510372. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Jordan Roland located?

Jordan Roland practices at 1613 23rd Ave, Gulfport, MS 39501. The listed phone number is (228) 284-4651.

What is Jordan Roland's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jordan Roland enrolled in Medicare?

Yes. Jordan Roland 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 Roland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Roland reassigns Medicare benefits to Mindful Matters (Gulfport, MS). 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 Roland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Roland accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Jordan Roland 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 Roland was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.