NICHOLAS BREWER JORDAN MA, LPC
NPI 1720667538
Counselor - Professional in Kansas City, MO

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
6615 FLORA AVE, KANSAS CITY, MO 64131(816) 514-1087 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 31, 2023, Feb 13, 2023, Jun 10, 2022 and 1 more (4 updates tracked since 2021).

About Nicholas Brewer Jordan Ma, Lpc NPPES

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

NICHOLAS BREWER JORDAN MA, LPC (NPI 1720667538) is an individual professional provider in Kansas City, Missouri, licensed in Missouri (2020005149) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720667538
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS BREWER JORDANCredential: MA, LPC
Location Address6615 FLORA AVEKansas City, MO 64131-1409
Mailing Address616 E 63rd St Ste 200aKansas City, MO 64110-3371 · (816) 514-1087
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2021
Last NPPES UpdateSeptember 27, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2025
✔ NPI 1720667538 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 MO · 2020005149
6615 FLORA AVE, Kansas City, MO 64131

Secondary Practice Location 1

Location 1616 E 63rd St Ste 200AKansas City, MO 64110-3371 · Phone (816) 514-1087

Accepted Insurance

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

Nicholas Brewer Jordan Ma, Lpc 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 ID4981047610
PECOS Enrollment IDI20240208004013
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
6615 FLORA AVE
KANSAS CITY, MO 64131

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 Nicholas Jordan's NPI number?

The NPI number for Nicholas Jordan is 1720667538. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Nicholas Jordan located?

Nicholas Jordan practices at 6615 Flora Ave, Kansas City, MO 64131. The listed phone number is (816) 514-1087.

What is Nicholas Jordan's specialty?

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

Is Nicholas Jordan enrolled in Medicare?

Yes. Nicholas Jordan 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.

What insurance does Nicholas Jordan accept?

Health plans from Cox HealthPlans list Nicholas Jordan 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 Nicholas Jordan was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.