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Jordan Soper, PSY.D.

NPI 1477904126ActiveIndividual· Psychologist· Henderson, NV

Opted out of Medicare from May 2019 to May 2027. Psychologist (PSY.D.) in Henderson, Nevada, licensed in NV and WA, with an NPI issued in June 2016.

Overview

NPI1477904126
StatusActive
Entity typeIndividual
CredentialPSY.D.
Sole proprietorNo
NPI issuedJun 23, 2016
Last updated in NPPESMay 29, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPY0808NV
Psychologist103T00000XPY60632945WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out May 29, 2019 – May 29, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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