KELLIE MARIE JORDAN
NPI 1306434493
Counselor - Professional in Smyrna, GA

Active since January 05, 2021
3200 HIGHLANDS PKWY SE STE 400, SMYRNA, GA 30082(888) 588-8995 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2021, Jan 5, 2021 (2 updates tracked since 2021).

About Kellie Marie Jordan NPPES

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

KELLIE MARIE JORDAN (NPI 1306434493) is an individual professional provider in Smyrna, Georgia, licensed in Georgia (LPC015422) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1306434493
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLIE MARIE JORDAN
Location Address3200 HIGHLANDS PKWY SE STE 400Smyrna, GA 30082-5192
Mailing Address3200 Highlands Pkwy Se Ste 400Smyrna, GA 30082-5192 · (888) 588-8995
Sole ProprietorNo
Enumeration DateJanuary 5, 2021
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1306434493 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 GA · LPC015422
3200 HIGHLANDS PKWY SE STE 400, Smyrna, GA 30082

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
3200 HIGHLANDS PKWY SE STE 400
SMYRNA, GA 30082
Social Worker (Clinical)
3200 HIGHLANDS PKWY SE STE 400
SMYRNA, GA 30082
Nurse Practitioner (Psychiatric/Mental Health)
3200 HIGHLANDS PKWY SE STE 400
SMYRNA, GA 30082
Psychiatry & Neurology (Psychiatry)
3200 HIGHLANDS PKWY SE STE 400
SMYRNA, GA 30082

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 Kellie Jordan's NPI number?

The NPI number for Kellie Jordan is 1306434493. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Kellie Jordan located?

Kellie Jordan practices at 3200 Highlands Pkwy SE Ste 400, Smyrna, GA 30082. The listed phone number is (888) 588-8995.

What is Kellie Jordan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Jordan was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.