NICOLE ANDREWS JORDAN LPC
NPI 1881433266
Counselor - Professional in Brandon, MS
About Nicole Andrews Jordan Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ANDREWS JORDAN LPC (NPI 1881433266) is an individual professional provider in Brandon, Mississippi, licensed in Mississippi (3052) and active in the NPI registry since May 2024. She has opted out of Medicare through August 29, 2026.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Nicole Andrews Jordan Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2024 through August 29, 2026.
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 Nicole Jordan's NPI number?
The NPI number for Nicole Jordan is 1881433266. It was assigned to this individual provider in the NPPES registry on May 23, 2024.
Where is Nicole Jordan located?
Nicole Jordan practices at 476 Pinebrook Cir, Brandon, MS 39047. The listed phone number is (601) 214-5800.
What is Nicole Jordan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicole Jordan enrolled in Medicare?
No. Nicole Jordan has opted out of Medicare through August 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Nicole Jordan was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicole Andrews Jordan, LPC · NPI 1881433266
Professional provider in Brandon, Mississippi. Individual provider, active in the CMS NPPES registry since May 23, 2024.
## Identity
- **NPI:** 1881433266 (Entity type: Individual)
- **Enumerated:** May 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3052 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 476 PINEBROOK CIR, Brandon, MS 39047-7830
- **Phone:** (601) 214-5800
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 29, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** June 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881433266) · Data from the CMS NPPES public registry.