TODD MICHEAL JORDAN LBA, LPC
NPI 1316495302
Counselor - Professional in Poplar Bluff, MO

Active since September 19, 2016
2451 FAIR ST, POPLAR BLUFF, MO 63901(573) 429-4810 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 18, 2017 and 3 more (6 updates tracked since 2016).

About Todd Micheal Jordan Lba, Lpc NPPES

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

TODD MICHEAL JORDAN LBA, LPC (NPI 1316495302) is an individual professional provider in Poplar Bluff, Missouri, licensed in (2014028525) and active in the NPI registry since September 2016. He maintains a secondary practice location in Poplar Bluff.

NPPES Registry Identity

NPI1316495302
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTODD MICHEAL JORDANCredential: LBA, LPC
Location Address2451 FAIR STPoplar Bluff, MO 63901-7019
Mailing Address2451 Fair StPoplar Bluff, MO 63901-7019 · (573) 429-4810
Sole ProprietorNo
Enumeration DateSeptember 19, 2016
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPI 1316495302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed · 2014028525
Also ListedBehavior AnalystTaxonomy 103K00000X
2451 FAIR ST, Poplar Bluff, MO 63901

Secondary Practice Location 1

Location 1101 S Main StPoplar Bluff, MO 63901-5843 · Phone (573) 686-5090 · Fax (573) 785-4104

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 Todd Jordan's NPI number?

The NPI number for Todd Jordan is 1316495302. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Todd Jordan located?

Todd Jordan practices at 2451 Fair St, Poplar Bluff, MO 63901. The listed phone number is (573) 429-4810.

What is Todd 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 Todd 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.