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JORDAN ALSTON
NPI 1326683343
Counselor - Mental Health in Derby, NY

Active since November 13, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2025, Nov 13, 2019 (2 updates tracked since 2019).

About Jordan Alston NPPES

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

JORDAN ALSTON (NPI 1326683343) is an individual mental health provider in Derby, New York and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326683343
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN ALSTON
Location Address6722 ERIE RDDerby, NY 14047-9670
Mailing Address6722 Erie RdDerby, NY 14047-9670 · (716) 947-5025
Phone(716) 947-5025
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 13, 2019
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1326683343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6722 ERIE RD, Derby, NY 14047
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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

Jordan Alston 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 ID3072964980
PECOS Enrollment IDI20240104003008
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.

Other Providers at the Same Location NPPES 14

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

DR. CHERIE B RUBEN PHD
Psychologist (Clinical)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
VALERIE A NOWAK MHC
Counselor (Mental Health)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
DR. LAURA MARIE SPENCER LMHC
Counselor (Mental Health)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
LENA R BAXTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
MARY BETH MCCORMICK LMHC
Counselor (Mental Health)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
PROFESSIONAL PSYCHIATRIC SERVICES P.C.
Psychiatry & Neurology (Psychiatry)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-2097
KATHRYN BLANCHARD LMSW
Social Worker
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-5025
DR. ANTHONY ANGELO RACANIELLO MD
Psychiatry & Neurology (Psychiatry)
6722 ERIE RD
DERBY, NY 14047
Erie County (716) 947-2097

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 Alston's NPI number?

The NPI number for Jordan Alston is 1326683343. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Jordan Alston located?

Jordan Alston practices at 6722 Erie Rd, Derby, NY 14047. The listed phone number is (716) 947-5025.

What is Jordan Alston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jordan Alston enrolled in Medicare?

Yes. Jordan Alston 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.

When was this NPI record last updated?

The NPPES record for Jordan Alston was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.