1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Counselor
  6. NPI Profile

KEVIN MICHAEL JORDAN LCDC
NPI 1801595574
Counselor - Addiction (Substance Use Disorder) in Tyler, TX

Active since March 01, 2023
1827 W GENTRY PKWY, TYLER, TX 75702(903) 630-7461 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Michael Jordan Lcdc NPPES

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

KEVIN MICHAEL JORDAN LCDC (NPI 1801595574) is an individual addiction (substance use disorder) provider in Tyler, Texas, licensed in Texas (13944) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1801595574
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN MICHAEL JORDANCredential: LCDC
Location Address1827 W GENTRY PKWYTyler, TX 75702-3929
Mailing Address715 Estes DrLongview, TX 75602-6102 · (903) 900-2134
Phone(903) 630-7461
Sole ProprietorNo
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1801595574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 13944
1827 W GENTRY PKWY, Tyler, TX 75702
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

TYNISHA BROOKS LCDC
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 630-7464
STEVEN PLUTH LCDC
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 630-7464
CENIKOR FOUNDATION
Clinic/Center (Rehabilitation, Substance Use Disorder)
1827 W GENTRY PKWY
TYLER, TX 75702
Smith County (713) 266-9944
DR. MINETTE BRYANT
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 630-7461

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 Kevin Jordan's NPI number?

The NPI number for Kevin Jordan is 1801595574. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Kevin Jordan located?

Kevin Jordan practices at 1827 W Gentry Pkwy, Tyler, TX 75702. The listed phone number is (903) 630-7461.

What is Kevin Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Jordan was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.