JORDAN DIMMICK LPC
NPI 1972340511
Counselor - Professional in Farmville, VA

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment
2541 LAYNE ST, FARMVILLE, VA 23901(804) 387-1050 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Jul 11, 2024 (2 updates tracked since 2024).

About Jordan Dimmick Lpc NPPES

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

JORDAN DIMMICK LPC (NPI 1972340511) is an individual professional provider in Farmville, Virginia, licensed in Virginia (0701013766) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972340511
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN DIMMICKCredential: LPC
Location Address2541 LAYNE STFarmville, VA 23901-2667
Mailing Address2541 Layne StFarmville, VA 23901-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 11, 2024
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1972340511 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 VA · 0701013766
2541 LAYNE ST, Farmville, VA 23901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Dimmick Lpc 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 ID547737033
PECOS Enrollment IDI20260422000412
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Dimmick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
6524 WOODLAKE VILLAGE CIR
Midlothian, VA 23112
  • Reassigned Medicare billing, Virginia enrollment
  • 55 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dimmick's NPI number?

The NPI number for Jordan Dimmick is 1972340511. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Jordan Dimmick located?

Jordan Dimmick practices at 2541 Layne St, Farmville, VA 23901. The listed phone number is (804) 387-1050.

What is Jordan Dimmick's specialty?

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

Is Jordan Dimmick enrolled in Medicare?

Yes. Jordan Dimmick 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.

Which organization bills Medicare for Jordan Dimmick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Dimmick reassigns Medicare benefits to Resilience Counseling & Social Skills Center LLC (Midlothian, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Dimmick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Dimmick was last updated on September 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.