Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY JORDAN
NPI 1659285096
Counselor - Mental Health in Wasilla, AK

Q: What is Kelly Jordan's NPI number?

The NPI number for Kelly Jordan is 1659285096. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Kelly Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Jordan was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 October 01, 2026

800 E RAILROAD AVE STE 210, WASILLA, AK 99654(907) 313-7965(907) 531-3886 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kelly Jordan NPPES

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

KELLY JORDAN (NPI 1659285096) is an individual mental health provider in Wasilla, Alaska and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1659285096

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY JORDAN

Location Address800 E RAILROAD AVE STE 210Wasilla, AK 99654-8137

Mailing AddressPo Box 870606Wasilla, AK 99687-0606 · (907) 313-7965 · Fax (907) 531-3886

Phone(907) 313-7965

Fax(907) 531-3886

Sole ProprietorNo

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1659285096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

800 E RAILROAD AVE STE 210, Wasilla, AK 99654

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Other Providers at the Same Location NPPES 2

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

JENNIFER DOTUR LPC

Counselor (Mental Health)

800 E RAILROAD AVE STE 210
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 313-7964

AMBER DAWN DEERE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

800 E RAILROAD AVE STE 210
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 313-7965

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 Kelly Jordan's NPI number?

The NPI number for Kelly Jordan is 1659285096. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Kelly Jordan located?

Kelly Jordan practices at 800 E Railroad Ave Ste 210, Wasilla, AK 99654. The listed phone number is (907) 313-7965.

What is Kelly Jordan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Jordan was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.