JORDAN NICOLE PETITT LMFT
NPI 1417547753
Counselor - Mental Health in Los Angeles, CA
About Jordan Nicole Petitt Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN NICOLE PETITT LMFT (NPI 1417547753) is an individual mental health provider in Los Angeles, California, licensed in California (137462) and active in the NPI registry since January 2021. She has opted out of Medicare through December 14, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jordan Nicole Petitt Lmft 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 December 14, 2025 through December 14, 2027.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Petitt's NPI number?
The NPI number for Jordan Petitt is 1417547753. It was assigned to this individual provider in the NPPES registry on January 20, 2021.
Where is Jordan Petitt located?
Jordan Petitt practices at 2904 Rowena Ave, Los Angeles, CA 90039. The listed phone number is (818) 381-9723.
What is Jordan Petitt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Petitt enrolled in Medicare?
No. Jordan Petitt has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jordan Petitt was last updated on February 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
