WILLIAM C JORDAN – Mental Health Counselor, NPI 1720099518
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
390 MENTAL HEALTH COUNSELOR in AL
Provider Addresses for WILLIAM C JORDAN
613 PELHAM RD S STE 2
JACKSONVILLE, AL 362652771
Phone: (256) 239-5662
Fax: (256) 217-4162
Type: Location
1215 Jackson Way SW
Jacksonville, AL 362654306
Phone: (256) 239-5662
Fax: (256) 217-4162
Type: Location
108 E 5TH AVE STE B
ROME, GA 301613128
Phone: (706) 509-0130
Type: Location
Jacksonville Post Office, North Sandy Street, Jacksonville, Morgan County, Illinois, 62650, United States
JACKSONVILLE, AL 362655162
Phone: (256) 239-5662
Fax: (256) 217-4162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240429001000 | I | Mental Health Counselor | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36265)
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