EBONY BIONICA JORDAN LPC
NPI 1235565714
Counselor - Professional in Texarkana, AR
About Ebony Bionica Jordan Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY BIONICA JORDAN LPC (NPI 1235565714) is an individual professional provider in Texarkana, Arkansas, licensed in Arkansas (P2206016) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hope, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Ebony Bionica Jordan 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.
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.
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 Ebony Jordan's NPI number?
The NPI number for Ebony Jordan is 1235565714. It was assigned to this individual provider in the NPPES registry on September 17, 2013.
Where is Ebony Jordan located?
Ebony Jordan practices at 2904 Arkansas Blvd, Texarkana, AR 71854. The listed phone number is (870) 773-4655.
What is Ebony Jordan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ebony Jordan enrolled in Medicare?
Yes. Ebony Jordan 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 Ebony Jordan accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Ebony Jordan 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 Ebony Jordan was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ebony Bionica Jordan, LPC · NPI 1235565714
Professional provider in Texarkana, Arkansas. Individual provider, active in the CMS NPPES registry since September 17, 2013.
## Identity
- **NPI:** 1235565714 (Entity type: Individual)
- **Enumerated:** September 17, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2206016 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2904 ARKANSAS BLVD, Texarkana, AR 71854-2536
- **Phone:** (870) 773-4655 · **Fax:** (870) 772-4650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235565714) · Data from the CMS NPPES public registry.