DR. JORDAN NICOLE KENNON PSYD
NPI 1629845763
Psychologist - Clinical in Birmingham, AL

Q: What is Jordan Kennon's NPI number?

The NPI number for Jordan Kennon is 1629845763. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Q: What is Jordan Kennon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Kennon was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 December 08, 2023PECOS EnrolledAccepts Medicare Assignment

1717 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-3454 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Dec 8, 2023 (2 updates tracked since 2023).

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About Dr. Jordan Nicole Kennon Psyd NPPES

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

DR. JORDAN NICOLE KENNON PSYD (NPI 1629845763) is an individual clinical provider in Birmingham, Alabama, licensed in Illinois (071.011301) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629845763

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JORDAN NICOLE KENNONCredential: PSYD

Location Address1717 6TH AVE SBirmingham, AL 35233-1801

Mailing Address1701 1st Ave S Apt 651Birmingham, AL 35233-1863 · (505) 353-2973

Phone(205) 934-3454

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 8, 2023

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1629845763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.011301

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X

1717 6TH AVE S, Birmingham, AL 35233

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Nicole Kennon Psyd 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 ID9032634480

PECOS Enrollment IDI20250417001860

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Kennon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baal Perazim Wellness, Inc

575 mi

Internal Medicine

3416 S HALSTED ST
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
39 clinicians in this Medicare group

NPI 1215403530 (773) 296-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.63 typical visit price

range $52.65 – $161.63

Typical copayment $40.40 (range $13.16 – $40.40)

Most-billed visit code 99205

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MELANIE MORRIS

Surgery

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JESSICA CHA

Nurse Practitioner (Acute Care)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JAMES WALKER

Radiology (Diagnostic Radiology)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

TONYA RICHARDS

Nurse Practitioner (Family)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

JOSEPH SMITH

Radiology (Diagnostic Radiology)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

STACY WADE

Anesthesiology

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

MRS. CHERYL ANDERSON LANE NP-BC

Nurse Practitioner (Adult Health)

1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233

Jefferson County (205) 934-2747

TARAH WOODFIN

Nurse Practitioner (Acute Care)

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (800) 822-8816

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 Kennon's NPI number?

The NPI number for Jordan Kennon is 1629845763. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Jordan Kennon located?

Jordan Kennon practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-3454.

What is Jordan Kennon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jordan Kennon enrolled in Medicare?

Yes. Jordan Kennon 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.

Which organization bills Medicare for Jordan Kennon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Kennon reassigns Medicare benefits to Baal Perazim Wellness, Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Kennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Kennon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jordan Kennon 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 Kennon was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.