MIRANDA L JORDAN MS
NPI 1518480219
Counselor - Mental Health in Moulton, AL

Q: What is Miranda Jordan's NPI number?

The NPI number for Miranda Jordan is 1518480219. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Miranda Jordan's specialty?

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

Q: Is Miranda Jordan enrolled in Medicare?

No. Miranda Jordan has opted out of Medicare through April 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Miranda Jordan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 25, 2017Opted out of Medicare · through Apr 6, 2028

295 HOSPITAL ST, MOULTON, AL 35650(256) 974-6697(256) 341-0747 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2018, Jul 25, 2017 (2 updates tracked since 2017).

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About Miranda L Jordan Ms NPPES

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

MIRANDA L JORDAN MS (NPI 1518480219) is an individual mental health provider in Moulton, Alabama and active in the NPI registry since July 2017. She has opted out of Medicare through April 6, 2028 and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1518480219

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMIRANDA L JORDANCredential: MS

Location Address295 HOSPITAL STMoulton, AL 35650-1210

Mailing Address1316 Somerville Rd Se Ste 1Decatur, AL 35601-4309 · (256) 260-7361 · Fax (256) 341-0747

Phone(256) 974-6697

Fax(256) 341-0747

Sole ProprietorNo

Enumeration DateJuly 25, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1518480219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

295 HOSPITAL ST, Moulton, AL 35650

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Secondary Practice Location 1

Location 14110 Highway 31 SouthDecatur, AL 35603 · Phone (256) 260-7360 · Fax (256) 341-0747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miranda L Jordan Ms 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 April 6, 2026 through April 6, 2028.

Opt-Out Effective DateApril 6, 2026

Opt-Out In Effect ThroughApril 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

TAMMY KEENUM LPN

Licensed Practical Nurse