DR. WILLIAM TRAVIS JORDAN (LCP) – Clinical Psychologist, NPI 1245668516
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
667 CLINICAL PSYCHOLOGIST in VA
Provider Addresses for DR. WILLIAM TRAVIS JORDAN (LCP)
638 Independence Pkwy Ste 240
Chesapeake, VA 233205222
Phone: (757) 609-3677
Fax: (757) 299-4214
Type: Location
2050 Hillpoint Blvd N
Suffolk, VA 234347181
Phone: (757) 983-8650
Fax: (757) 299-4214
Type: Location
321 N Main St
Suffolk, VA 234344422
Phone: (757) 609-3677
Fax: (757) 299-4214
Type: Location
4037 TAYLOR RD STE C
CHESAPEAKE, VA 233215500
Phone: (757) 609-3677
Fax: (757) 299-4214
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.
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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: 2014-01-31
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 |
|---|---|---|---|---|
| I20140131001422 | I | Clinical Psychologist | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 232 | 30 | $0 |
| 90834 | Psychotherapy, 45 minutes | 111 | 16 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 50 | 30 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 36 | 36 | $0 |
| 96130 | Evaluation of psychological test, first hour | 21 | 21 | $0 |
Insurance plans in this area (ZIP 23320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| - | NJ | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Mental Health Counselor | PA | |
| Clinical Social Worker | VA |
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