MEDICARE: JORDUN PARKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	172V00000X	Community Health Worker	17860	TX
3	171M00000X	Case Manager/Care Coordinator
4	251B00000X	Case Management Agency
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114809092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDUN PARKS

Provider Business Mailing Address
First Line	:	2601 LITTLE ELM PKWY STE 1803
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-2503
Country	:	US
Telephone Number	:	973-433-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 LITTLE ELM PKWY STE 1803
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-2503
Country	:	US
Telephone Number	:	973-433-3441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	03/31/2026

Similar Medicare Providers

1871434605 — KARISHMA AGARWAL
Practice Location Address:

2601 LITTLE ELM PKWY STE 1802
LITTLE ELM, TX
75068-2503

Practice Phone: 945-253-7123
Practice Fax:

1962282954 — GUIDED CARE MANAGEMENT
Practice Location Address:

2601 LITTLE ELM PKWY STE 1803
LITTLE ELM, TX
75068-2503

Practice Phone: 866-448-3441
Practice Fax:

1821445701 — MAIDELINA NAZARIO-ROMERO M.S., BCBA, LBA.
Practice Location Address:

2601 LITTLE ELM PKWY STE 1702
LITTLE ELM, TX
75068-2503

Practice Phone: 469-264-8630
Practice Fax: 469-553-0847

1891233615 — LINDSEY MARIE ENGEL GRELA MA, LPC
Practice Location Address:

2601 LITTLE ELM PKWY STE 1704
LITTLE ELM, TX
75068-2503

Practice Phone: 469-536-2849
Practice Fax: 682-292-1350

1558985572 — MISS THERESA TRAN
Practice Location Address:

2601 LITTLE ELM PKWY STE 1704
LITTLE ELM, TX
75068-2503

Practice Phone: 817-501-6080
Practice Fax:

1194316265 — MENDED SOUL COUNSELING SERVICES, PLLC
Practice Location Address:

2601 LITTLE ELM PKWY STE 1704
LITTLE ELM, TX
75068-2503

Practice Phone: 972-565-6363
Practice Fax: 682-292-1350

1992372460 — VITAL SUPPORT HOME HEALTH CARE LLC
Practice Location Address:

2601 LITTLE ELM PKWY STE 1502
LITTLE ELM, TX
75068-2503

Practice Phone: 972-245-2270
Practice Fax: 972-245-2271

Directions to “ JORDUN PARKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.