1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Counselor
  6. NPI Profile

KENDRICK JORDAN
NPI 1639915143
Counselor in Decatur, GA

Active since July 03, 2024
2170 KILARNEY RD, DECATUR, GA 30032(470) 764-8955 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendrick Jordan NPPES

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

KENDRICK JORDAN (NPI 1639915143) is an individual counselor in Decatur, Georgia and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1639915143
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKENDRICK JORDAN
Location Address2170 KILARNEY RDDecatur, GA 30032-7126
Mailing Address2170 Kilarney RdDecatur, GA 30032-7126 · (470) 764-8955
Phone(470) 764-8955
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1639915143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2170 KILARNEY RD, Decatur, GA 30032
Open in Google Maps ↗

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 Kendrick Jordan's NPI number?

The NPI number for Kendrick Jordan is 1639915143. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Kendrick Jordan located?

Kendrick Jordan practices at 2170 Kilarney Rd, Decatur, GA 30032. The listed phone number is (470) 764-8955.

What is Kendrick Jordan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kendrick Jordan was last updated on July 3, 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.