JORDAN DANIELLE CONLEY LPC
NPI 1659930543
Counselor - Professional in Johnson City, TN

Q: What is Jordan Conley's NPI number?

The NPI number for Jordan Conley is 1659930543. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Jordan Conley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Conley was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2019PECOS Enrolled

2408 SUSANNAH ST STE 1, JOHNSON CITY, TN 37601(423) 434-6677(423) 461-0000 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jordan Danielle Conley Lpc NPPES

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

JORDAN DANIELLE CONLEY LPC (NPI 1659930543) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (3991) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659930543

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJORDAN DANIELLE CONLEYCredential: LPC

Location Address2408 SUSANNAH ST STE 1Johnson City, TN 37601-1765

Mailing Address2408 Susannah St Ste 1Johnson City, TN 37601-1765 · (423) 434-6677 · Fax (423) 461-0000

Phone(423) 434-6677

Fax(423) 461-0000

Sole ProprietorNo

Enumeration DateJune 13, 2019

Last NPPES UpdateJanuary 17, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1659930543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 3991

2408 SUSANNAH ST STE 1, Johnson City, TN 37601

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Danielle Conley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.