JORDAN JEFFREY JOLLY LCPC
NPI 1376294488
Counselor - Professional in Missoula, MT

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment
634 EDDY AVE, MISSOULA, MT 59812(406) 243-4712 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Jeffrey Jolly Lcpc NPPES

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

JORDAN JEFFREY JOLLY LCPC (NPI 1376294488) is an individual professional provider in Missoula, Montana, licensed in Montana (51413) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376294488
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN JEFFREY JOLLYCredential: LCPC
Location Address634 EDDY AVEMissoula, MT 59812-1802
Mailing Address270 Broken Top Ln Apt 212Missoula, MT 59802-3252 · (815) 419-7204
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1376294488 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 MT · 51413
634 EDDY AVE, Missoula, MT 59812

Accepted Insurance

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 Jeffrey Jolly Lcpc 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 ID446798573
PECOS Enrollment IDI20240820001847
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 20

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

Counselor (Professional)
634 EDDY AVE
MISSOULA, MT 59812
Registered Nurse (Administrator)
634 EDDY AVE
MISSOULA, MT 59812
Student in an Organized Health Care Education/Training Program
634 EDDY AVE
MISSOULA, MT 59812
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Pharmacist
634 EDDY AVE
MISSOULA, MT 59812
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Registered Nurse
634 EDDY AVE
MISSOULA, MT 59812

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 Jolly's NPI number?

The NPI number for Jordan Jolly is 1376294488. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Jordan Jolly located?

Jordan Jolly practices at 634 Eddy Ave, Missoula, MT 59812. The listed phone number is (406) 243-4712.

What is Jordan Jolly's specialty?

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

Is Jordan Jolly enrolled in Medicare?

Yes. Jordan Jolly 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.

What insurance does Jordan Jolly accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Jordan Jolly 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 Jolly was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.