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

Marissa Jordan, LPC

Individual provider Mental Health Counselor · NPI 1215396916

Marissa Jordan, LPC is a Mental Health Counselor in Johnson City, Tennessee. Licensed in Ohio and Tennessee. Registered with an NPI since 2016.

Licensed in
OH, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

268 Christian Church Rd Ste 2
Johnson City, TN 37615-4484
Phone: (423) 491-4202
Fax: (423) 388-4774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4767 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence C.1500150 (OH)

Record details

NPI number1215396916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

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