Healthcare Provider Details

I. General information

NPI: 1851805485
Provider Name (Legal Business Name): JORDAN FRANCIS MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN PEERY

II. Dates (important events)

Enumeration Date: 11/17/2017
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718B HARVEST HILLS DR
CARROLLTON MO
64633-2412
US

IV. Provider business mailing address

1300 E BRADFORD PKWY
SPRINGFIELD MO
65804-4264
US

V. Phone/Fax

Practice location:
  • Phone: 660-542-1403
  • Fax:
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2019000817
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: