Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Smith

Individual provider Mental Health Counselor · NPI 1114569118

Jordan Smith is a Mental Health Counselor in Malvern, Arkansas. Qualified in 2021, 5 years ago. Practices with Birch Tree Communities Inc, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2019

Practice location Address checks out

1628 E Page Ave
Malvern, AR 72104-4524
Phone: (501) 315-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1114569118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2019
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 1589, Benton, AR 72018-1589

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Birch Tree Communities Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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