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JORDAN BERRY LCSW
NPI 1255941225
Social Worker - Clinical in Shawnee, KS

Active since August 05, 2020Opted out of Medicare · through Jun 17, 2028
13851 W 63RD ST # 181, SHAWNEE, KS 66216(480) 420-9397(602) 926-7377 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2024, Jul 14, 2021, Apr 22, 2021 and 1 more (4 updates tracked since 2020).

About Jordan Berry Lcsw NPPES

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

JORDAN BERRY LCSW (NPI 1255941225) is an individual clinical provider in Shawnee, Kansas, licensed in Kansas (06440) and active in the NPI registry since August 2020. She has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1255941225
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN BERRYCredential: LCSW
Location Address13851 W 63RD ST # 181Shawnee, KS 66216-3800
Mailing Address13851 W 63rd St # 181Shawnee, KS 66216-3800 · (480) 420-9397 · Fax (602) 926-7377
Phone(480) 420-9397
Fax(602) 926-7377
Sole ProprietorYes
Enumeration DateAugust 5, 2020
Last NPPES UpdateApril 28, 20254 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1255941225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KS · 06440✔ Licensed in AZ · LCSW-19263✔ Licensed in MO · 2024038897
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.
13851 W 63RD ST # 181, Shawnee, KS 66216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jordan Berry Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024
Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Berry's NPI number?

The NPI number for Jordan Berry is 1255941225. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jordan Berry located?

Jordan Berry practices at 13851 W 63rd St # 181, Shawnee, KS 66216. The listed phone number is (480) 420-9397.

What is Jordan Berry's specialty?

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

Is Jordan Berry enrolled in Medicare?

No. Jordan Berry has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jordan Berry accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Jordan Berry 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 Berry was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.