JORDAN TYLER DEWITT MA, LMFT, LCAS
NPI 1679064984
Marriage & Family Therapist in Ellerbe, NC

Q: What is Jordan Dewitt's NPI number?

The NPI number for Jordan Dewitt is 1679064984. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Q: What is Jordan Dewitt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Dewitt was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 22, 2018PECOS EnrolledAccepts Medicare Assignment

651 JONES SPRINGS CHURCH RD, ELLERBE, NC 28338(910) 318-7416 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 6, 2022, Feb 3, 2021, Sep 25, 2020 and 1 more (4 updates tracked since 2018).

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About Jordan Tyler Dewitt Ma, Lmft, Lcas NPPES

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

JORDAN TYLER DEWITT MA, LMFT, LCAS (NPI 1679064984) is an individual marriage & family therapist in Ellerbe, North Carolina, licensed in North Carolina (2160) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679064984

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJORDAN TYLER DEWITTCredential: MA, LMFT, LCAS

Location Address651 JONES SPRINGS CHURCH RDEllerbe, NC 28338-8413

Mailing Address651 Jones Springs Church RdEllerbe, NC 28338-8413 · (910) 318-7416

Phone(910) 318-7416

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 22, 2018

Last NPPES UpdateJanuary 6, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2022

✔ NPI 1679064984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in NC · 2160✔ Licensed in NC · 12093A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-24343 (NC)

651 JONES SPRINGS CHURCH RD, Ellerbe, NC 28338

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Tyler Dewitt Ma, Lmft, Lcas 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 ID7214472505

PECOS Enrollment IDI20240710005228

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.

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 Dewitt's NPI number?

The NPI number for Jordan Dewitt is 1679064984. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Jordan Dewitt located?

Jordan Dewitt practices at 651 Jones Springs Church Rd, Ellerbe, NC 28338. The listed phone number is (910) 318-7416.

What is Jordan Dewitt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jordan Dewitt enrolled in Medicare?

Yes. Jordan Dewitt 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.

When was this NPI record last updated?

The NPPES record for Jordan Dewitt was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.