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DR. WILLIAM TRAVIS JORDAN LCP
NPI 1245668516
Psychologist - Clinical in Chesapeake, VA

Active since October 24, 2013PECOS EnrolledAccepts Medicare Assignment
4037 TAYLOR RD STE C, CHESAPEAKE, VA 23321(757) 609-3677(757) 299-4214 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 28, 2017 (3 updates tracked since 2017).

About Dr. William Travis Jordan Lcp NPPES

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

DR. WILLIAM TRAVIS JORDAN LCP (NPI 1245668516) is an individual clinical provider in Chesapeake, Virginia, licensed in Virginia (0810004861) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245668516
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WILLIAM TRAVIS JORDANCredential: LCP
Location Address4037 TAYLOR RD STE CChesapeake, VA 23321-5500
Mailing Address4037 Taylor Rd Ste CChesapeake, VA 23321-5500 · (757) 609-3677 · Fax (757) 299-4214
Phone(757) 609-3677
Fax(757) 299-4214
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1245668516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810004861
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4037 TAYLOR RD STE C, Chesapeake, VA 23321
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Secondary Practice Locations 3

Location 1321 N Main StSuffolk, VA 23434-4422 · Phone (757) 609-3677 · Fax (757) 299-4214
Location 22050 Hillpoint Blvd NSuffolk, VA 23434-7181 · Phone (757) 983-8650 · Fax (757) 299-4214
Location 3638 Independence Pkwy Ste 240Chesapeake, VA 23320-5222 · Phone (757) 609-3677 · Fax (757) 299-4214

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

Dr. William Travis Jordan Lcp 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 ID7618106261
PECOS Enrollment IDI20140131001422
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 William Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Colonial Internal Medicine Associates PC
114 mi
Internal Medicine
125 OLDE GREENWICH DR, SUITE 300
Fredericksburg, VA 22408
  • Reassigned Medicare billing, Virginia enrollment
  • 16 clinicians in this Medicare group
NPI 1346260940 (540) 374-5599

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
258 services34 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
108 services14 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
58 services34 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services37 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
31 services31 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23321 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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 3

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

GATEWAY MEDICAL & MENTAL HEALTHCARE, LLC
Psychiatry & Neurology (Psychiatry)
4037 TAYLOR RD STE C
CHESAPEAKE, VA 23321
Chesapeake City (757) 394-1135
BEHAVIORAL HEALTH NAVIGATORS INC.
Psychologist (Clinical)
4037 TAYLOR RD STE C
CHESAPEAKE, VA 23321
Chesapeake City (757) 609-3677
FAMILIES ORGANIZED FOR RENEWAL AND COMMUNITY EMPOWERMENT
Clinic/Center (Adult Mental Health)
4037 TAYLOR RD STE C
CHESAPEAKE, VA 23321
Chesapeake City (202) 494-6119

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 William Jordan's NPI number?

The NPI number for William Jordan is 1245668516. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is William Jordan located?

William Jordan practices at 4037 Taylor Rd Ste C, Chesapeake, VA 23321. The listed phone number is (757) 609-3677.

What is William Jordan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is William Jordan enrolled in Medicare?

Yes. William 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.

Which organization bills Medicare for William Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Jordan reassigns Medicare benefits to Colonial Internal Medicine Associates PC (Fredericksburg, VA). 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 William Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Jordan 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.