1. Home
  2. Directory
  3. Virginia
  4. Salem
  5. Counselor
  6. NPI Profile

JORDAN KENNEDY LPC
NPI 1225852957
Counselor - Professional in Salem, VA

Active since November 11, 2024PECOS EnrolledAccepts Medicare Assignment
1932 BRAEBURN DR, SALEM, VA 24153(540) 529-8543(540) 378-6044 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jordan Kennedy Lpc NPPES

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

JORDAN KENNEDY LPC (NPI 1225852957) is an individual professional provider in Salem, Virginia, licensed in Virginia (0701014039) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225852957
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN KENNEDYCredential: LPC
Location Address1932 BRAEBURN DRSalem, VA 24153-7302
Mailing Address1932 Braeburn DrSalem, VA 24153-7302 · (540) 529-8543 · Fax (540) 378-6044
Phone(540) 529-8543
Fax(540) 378-6044
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 10, 2024
✔ NPI 1225852957 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 VA · 0701014039
1932 BRAEBURN DR, Salem, VA 24153
Open in Google Maps ↗

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 Kennedy Lpc 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 ID244750396
PECOS Enrollment IDI20250220000584
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 2

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

SARA GUERRY LCSW
Social Worker (Clinical)
1932 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 358-1519
ENJOY COUNSELING SERVICES LLC
Counselor
1932 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 655-6149

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 Kennedy's NPI number?

The NPI number for Jordan Kennedy is 1225852957. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Jordan Kennedy located?

Jordan Kennedy practices at 1932 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 529-8543.

What is Jordan Kennedy's specialty?

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

Is Jordan Kennedy enrolled in Medicare?

Yes. Jordan Kennedy 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.

When was this NPI record last updated?

The NPPES record for Jordan Kennedy was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.