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Export Provider Record NPI 1104523869
Lark Cheri JordanMA, LPC
Active
NPI Number1104523869
NPI TypeNPI-1 Individual
SpecialtyCounselor, Mental Health
Provider Details
NPI1104523869
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2023-02-13
Last Updated2023-02-13
Mailing Address8650 Southwestern Blvd Apt 2805
Dallas, TX 75206-2685
United States
Phone: (214) 608-0259
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Primary Practice Address4144 N Central Expy Ste 850
Dallas, TX 75204-3226
United States
Phone: (972) 865-8782
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes101YM0800X – Counselor, Mental HealthTX84769
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About NPI 1104523869

Lark Cheri Jordan MA, LPC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104523869. The primary specialty listed is Counselor, Mental Health. The provider is located in Dallas, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104523869?

NPI 1104523869 belongs to Lark Cheri Jordan MA, LPC, a Counselor, Mental Health in Dallas, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104523869 active?

The current status of NPI 1104523869 in the NPPES registry is Active. The record was last updated on 2023-02-13.

What specialty is NPI 1104523869?

NPI 1104523869 is classified under the taxonomy Counselor, Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104523869?

You can verify NPI 1104523869 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104523869?

The primary practice address on file for NPI 1104523869 is 4144 N Central Expy Ste 850, Dallas, TX 75204-3226. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104523869 issued?

NPI 1104523869 was first issued (enumerated) on 2023-02-13. The NPPES record was last updated on 2023-02-13.

Practice Location Map

Lark Cheri Jordan is located at 4144 N Central Expy Ste 850, Dallas, TX. Use the map below to find directions or verify the practice location.

📍 4144 N Central Expy Ste 850, Dallas, TX 75204-3226  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lark Cheri Jordan. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104523869. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Counselor, Mental Health84769TX
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162