KELSEY JEAN JORDAN (M.A.) – Marriage & Family Therapist, NPI 1114453073

KELSEY JEAN JORDAN (M.A.) is a healthcare provider. based in Columbus, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. They hold a License No. 11142 (NE). The NPI Number for KELSEY JEAN JORDAN (M.A.) is 1114453073

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY JEAN JORDAN (M.A.)
NPI
1114453073
Phone
(402) 606-3084
Address
3005 19TH ST
Enumeration Date
11 May 2017
Last Update Date
11 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022283386
Graduation Year
2015 (11 years ago)
PAC ID
9436507183
Group Practice PAC ID
3971403668
Professional Enrollment ID
I20231120000581
Address ID
NE683102041BE1123XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

843 MENTAL HEALTH COUNSELOR in NE

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Provider Addresses for KELSEY JEAN JORDAN (M.A.)

  • 3005, 19th Street, Columbus, Platte County, Nebraska, 68601, United States

    SUITE 700

    COLUMBUS, NE 686014248

    Phone: (402) 606-3084

    Fax: (402) 606-4693

    Mailing address matches the actual address.

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: 2023-11-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231120000581IMental Health CounselorNETBD

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.

Verify on CMS Revalidation Lookup Tool

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 68601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971403668View full group profile
NameSpecialtyState
Nurse PractitionerNE
-NE
Mental Health CounselorNE
Mental Health CounselorNE
Clinical Social WorkerKS
-NE
Clinical PsychologistNE
Mental Health CounselorNE
Clinical Social WorkerNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

What is the standard ID for KELSEY JEAN JORDAN (M.A.) in the U.S.?
In the U.S., KELSEY JEAN JORDAN (M.A.) is identified by NPI 1114453073.
Should I treat KELSEY JEAN JORDAN (M.A.) as an active provider?
Patients and plans typically see KELSEY JEAN JORDAN (M.A.) as active in the national extract.
How should patients interpret KELSEY JEAN JORDAN (M.A.)'s specialty?
The extract shows Marriage & Family Therapist for KELSEY JEAN JORDAN (M.A.). Clinical services aligned with this taxonomy classification.
What city is tied to KELSEY JEAN JORDAN (M.A.)?
The directory associates KELSEY JEAN JORDAN (M.A.) with Columbus, Nebraska. Check all listed addresses for suites or satellite offices.
Can I export KELSEY JEAN JORDAN (M.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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