JORDAN THOMAS PARKER LPC
NPI 1851104582
Counselor - Mental Health in Virginia Beach, VA
About Jordan Thomas Parker Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN THOMAS PARKER LPC (NPI 1851104582) is an individual mental health provider in Virginia Beach, Virginia, licensed in Virginia (0701014455) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Virginia Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Thomas Parker Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
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 Parker's NPI number?
The NPI number for Jordan Parker is 1851104582. It was assigned to this individual provider in the NPPES registry on January 28, 2025.
Where is Jordan Parker located?
Jordan Parker practices at 4445 Corporation Ln, Virginia Beach, VA 23462. The listed phone number is (757) 233-0003.
What is Jordan Parker's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Parker enrolled in Medicare?
Yes. Jordan Parker is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Parker was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jordan Thomas Parker, LPC · NPI 1851104582
Mental Health provider in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since January 28, 2025.
## Identity
- **NPI:** 1851104582 (Entity type: Individual)
- **Enumerated:** January 28, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701014455 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4445 CORPORATION LN, Virginia Beach, VA 23462-3262
- **Phone:** (757) 233-0003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851104582) · Data from the CMS NPPES public registry.