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JORDAN BODWELL LMHC
NPI 1497206577
Counselor - Mental Health in Lynn, MA

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment
95 PLEASANT ST, LYNN, MA 01901(781) 581-4427 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 19, 2021, Oct 16, 2018, Oct 24, 2016 (3 updates tracked since 2016).

About Jordan Bodwell Lmhc NPPES

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

JORDAN BODWELL LMHC (NPI 1497206577) is an individual mental health provider in Lynn, Massachusetts, licensed in Massachusetts (LMHC10000519) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Somerville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497206577
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN BODWELLCredential: LMHC
Location Address95 PLEASANT STLynn, MA 01901-1524
Mailing Address166 Walnut StSomerville, MA 02145-2933 · (603) 674-4537
Phone(781) 581-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 24, 2016
Last NPPES UpdateJanuary 8, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1497206577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · LMHC10000519
95 PLEASANT ST, Lynn, MA 01901
Open in Google Maps ↗

Secondary Practice Location 1

Location 1166 Walnut StSomerville, MA 02145-2933 · Phone (603) 674-4537

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 Bodwell Lmhc 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 ID9234581794
PECOS Enrollment IDI20240119002634
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.

MS. WENDY FAY GILLENSON LICSW
Social Worker (Clinical)
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 581-4400
MRS. DIANA RANDOLPH-MERCHANT
Student in an Organized Health Care Education/Training Program
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 267-4444
TYLA RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 715-2302
SARAH ELIZABETH THOMPSON
Counselor
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 581-4444
KATHLEEN T BROWN
Psychologist (Counseling)
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 581-4411
MS. PAMELA A BRADBURY LMHC
Counselor (Mental Health)
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 581-4440
MS. MICHELLE LEE FERNANDES ME.D. IN MHC
Counselor (Mental Health)
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 596-9222
LYNNE MARIE BUTLER RN, LMHC
Counselor (Mental Health)
95 PLEASANT ST
LYNN, MA 01901
Essex County (781) 581-4442

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 Bodwell's NPI number?

The NPI number for Jordan Bodwell is 1497206577. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Jordan Bodwell located?

Jordan Bodwell practices at 95 Pleasant St, Lynn, MA 01901. The listed phone number is (781) 581-4427.

What is Jordan Bodwell's specialty?

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

Is Jordan Bodwell enrolled in Medicare?

Yes. Jordan Bodwell 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 Bodwell was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.