DR. JORDAN SOPER PSY.D.
NPI 1477904126
Psychologist in Henderson, NV

Active since June 23, 2016Opted out of Medicare · through May 29, 2027
2460 PASEO VERDE PKWY STE 100, HENDERSON, NV 89074(702) 508-9181 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2019, Jun 23, 2016 (2 updates tracked since 2016).

About Dr. Jordan Soper Psy.d. NPPES

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

DR. JORDAN SOPER PSY.D. (NPI 1477904126) is an individual psychologist in Henderson, Nevada, licensed in Nevada (PY0808) and active in the NPI registry since June 2016. She has opted out of Medicare through May 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477904126
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JORDAN SOPERCredential: PSY.D.
Location Address2460 PASEO VERDE PKWY STE 100Henderson, NV 89074-7136
Mailing Address2460 Paseo Verde Pkwy Ste 100Henderson, NV 89074-7136 · (702) 508-9181
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateMay 29, 20192 updates tracked since enumeration
NPI 1477904126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NV · PY0808 Licensed in WA · PY60632945
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2460 PASEO VERDE PKWY STE 100, Henderson, NV 89074

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jordan Soper Psy.d. 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 May 29, 2019 through May 29, 2027.

Opt-Out Effective DateMay 29, 2019
Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
2460 PASEO VERDE PKWY STE 100
HENDERSON, NV 89074

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 Soper's NPI number?

The NPI number for Jordan Soper is 1477904126. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Jordan Soper located?

Jordan Soper practices at 2460 Paseo Verde Pkwy Ste 100, Henderson, NV 89074. The listed phone number is (702) 508-9181.

What is Jordan Soper's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jordan Soper enrolled in Medicare?

No. Jordan Soper has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jordan Soper was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.