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JORDAN B KILLPACK MC, LPC, CMHC
NPI 1194760363
Counselor - Mental Health in Syracuse, UT

Active since June 19, 2006
2650 W 2700 S, SYRACUSE, UT 84075(956) 639-6309(956) 639-6309 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 1, 2017 (3 updates tracked since 2017).

About Jordan B Killpack Mc, Lpc, Cmhc NPPES

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

JORDAN B KILLPACK MC, LPC, CMHC (NPI 1194760363) is an individual mental health provider in Syracuse, Utah, licensed in Texas (20280) and active in the NPI registry since June 2006. He maintains a secondary practice location in Layton.

NPPES Registry Identity

NPI1194760363
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN B KILLPACKCredential: MC, LPC, CMHC
Location Address2650 W 2700 SSyracuse, UT 84075-9013
Mailing Address2650 W 2700 SSyracuse, UT 84075-9013 · (956) 639-6309
Phone(956) 639-6309
Fax(956) 639-6309
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1194760363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in TX · 20280✔ Licensed in UT · 5422738-6004
Also ListedCounselorTaxonomy 101Y00000X · License 5422738-6004 (UT), 20280 (TX)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5422738-6004 (UT), 20280 (TX)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5422738-6004 (UT), 20280 (TX)
2650 W 2700 S, Syracuse, UT 84075
Open in Google Maps ↗

Secondary Practice Location 1

Location 1934 S Main StLayton, UT 84041-7135 · Phone (801) 773-7060

Other Identifiers 1

Other7489LCTX · Bcbs

Other Providers at the Same Location NPPES 3

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

ISLAND VIEW RESIDENTIAL TREATMENT CENTER
Psychiatric Residential Treatment Facility
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (801) 773-0200
RACHELLE STEED LCSW
Counselor (Mental Health)
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (801) 589-9121
ELEVATIONS RTC
Residential Treatment Facility, Emotionally Disturbed Children
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (801) 773-0200

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 Killpack's NPI number?

The NPI number for Jordan Killpack is 1194760363. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Jordan Killpack located?

Jordan Killpack practices at 2650 W 2700 S, Syracuse, UT 84075. The listed phone number is (956) 639-6309.

What is Jordan Killpack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Killpack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.