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TRACI C JORDAN LCPC
NPI 1912661810
Counselor - Professional in Upper Marlboro, MD

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
7203A PURPLE AVENS AVE, UPPER MARLBORO, MD 20772(443) 599-8508 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2023, Oct 25, 2023, Sep 5, 2023 and 1 more (4 updates tracked since 2023).

About Traci C Jordan Lcpc NPPES

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

TRACI C JORDAN LCPC (NPI 1912661810) is an individual professional provider in Upper Marlboro, Maryland, licensed in Maryland (LC14132) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912661810
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACI C JORDANCredential: LCPC
Location Address7203A PURPLE AVENS AVEUpper Marlboro, MD 20772-6311
Mailing Address7203a Purple Avens AveUpper Marlboro, MD 20772-6311
Phone(443) 599-8508
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 26, 2021
Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1912661810 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 MD · LC14132
7203A PURPLE AVENS AVE, Upper Marlboro, MD 20772
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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

Traci C Jordan Lcpc 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 ID9537609045
PECOS Enrollment IDI20240911002616
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.

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 Traci Jordan's NPI number?

The NPI number for Traci Jordan is 1912661810. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Traci Jordan located?

Traci Jordan practices at 7203A Purple Avens Ave, Upper Marlboro, MD 20772. The listed phone number is (443) 599-8508.

What is Traci Jordan's specialty?

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

Is Traci Jordan enrolled in Medicare?

Yes. Traci 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.

When was this NPI record last updated?

The NPPES record for Traci Jordan was last updated on November 2, 2023. 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.