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JORDAN COLES LPCC
NPI 1902245665
Counselor - Mental Health in Moorhead, MN

Active since June 17, 2013PECOS Enrolled
1132 28TH AVE S STE 102, MOORHEAD, MN 56560(218) 512-0630(218) 512-0437 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Coles Lpcc NPPES

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

JORDAN COLES LPCC (NPI 1902245665) is an individual mental health provider in Moorhead, Minnesota and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902245665
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN COLESCredential: LPCC
Location Address1132 28TH AVE S STE 102Moorhead, MN 56560-4420
Mailing Address1132 28th Ave S Ste 102Moorhead, MN 56560-4420 · (218) 512-0630 · Fax (218) 329-2437
Phone(218) 512-0630
Fax(218) 512-0437
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 17, 2013
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1902245665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1132 28TH AVE S STE 102, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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 Coles Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496198764
PECOS Enrollment IDI20240205000736
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 5

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

DR. AMY J LAVALLA DNP, PMHNP-BC, APRN
Nurse Practitioner (Psychiatric/Mental Health)
1132 28TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 512-0630
ALECSIS MAKAY ZIMMER LPCC
Counselor (Professional)
1132 28TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 512-0630
SLV GROUP, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1132 28TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 512-0630
STEPHANIE A AKERS DNP, APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1132 28TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 512-0630
JODEE ECKART
Nurse Practitioner (Psychiatric/Mental Health)
1132 28TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 512-0630

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 Coles's NPI number?

The NPI number for Jordan Coles is 1902245665. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Jordan Coles located?

Jordan Coles practices at 1132 28th Ave S Ste 102, Moorhead, MN 56560. The listed phone number is (218) 512-0630.

What is Jordan Coles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jordan Coles enrolled in Medicare?

Yes. Jordan Coles is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Coles accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jordan Coles 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 Jordan Coles was last updated on January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.