Terry Glen Jordan, MS, LPC in Lake Providence, LA

Terry Glen Jordan, MS, LPC is a medicare enrolled "Counselor - Mental Health" provider in Lake Providence, Louisiana. His current practice location is 500 Lake St Ste B, Lake Providence, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 552-5016.

Terry Glen Jordan is licensed to practice in Louisiana (license number 8116) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063008712.

Contact Information

	Terry Glen Jordan, MS, LPC
	500 Lake St Ste B, Lake Providence, LA 71254-2550
	(318) 552-5016
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Glen Jordan
Gender	Male
Speciality	Counselor - Mental Health
Location	500 Lake St Ste B, Lake Providence, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063008712
Provider Enumeration Date: 12/16/2020
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4981132289
Enrollment ID: I20250117003598

Medical Identifiers

Medical identifiers for Terry Glen Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063008712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	8116 (Louisiana)	Secondary
101YM0800X	Counselor - Mental Health	8116 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Terry Glen Jordan allows following entities to bill medicare on his behalf.

Entity Name	East Carroll Parish Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry Glen Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Terry Glen Jordan, MS, LPC Po Box 1307, Oak Grove, LA 71263-1307 Ph: (318) 680-4683	Terry Glen Jordan, MS, LPC 500 Lake St Ste B, Lake Providence, LA 71254-2550 Ph: (318) 552-5016

Reviews and Comments

Counselor in Lake Providence, LA

Wanda Shoemaker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Star Arlington St, Lake Providence, LA 71254 Phone: 318-372-0016
Larrimi Shae Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Lake St, Lake Providence, LA 71254 Phone: 318-559-0551 Fax: 318-559-0538
Laketha Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Keene St, Lake Providence, LA 71254 Phone: 318-282-0614
Edna King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 3rd St, Lake Providence, LA 71254 Phone: 318-282-1649
Shirley Anne Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Lake St, Lake Providence, LA 71254 Phone: 318-559-0551
Sade' Finley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Lake Street, Lake Providence, LA 71254 Phone: 318-559-0551

Terry Glen Jordan, MS, LPC - Medicare Counselor in Lake Providence, LA