Active NPI
Jordan Martin, MS, LPC
- Professional Counselor
- Mount Gretna, PA
National Provider Identifier
1013549781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012188
- Practice address
- 283 Butler Rd
Mount Gretna, PA 17064-6085 - Phone
- (717) 273-8871
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012188 | PA | Primary |
Addresses
Primary practice location
283 Butler Rd
Mount Gretna, PA 17064-6085
Mailing address
PO Box 550
Mount Gretna, PA 17064-0550
Phone (717) 273-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012188 | PA | MD | Professional Counselor |
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1013549781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "MOUNT GRETNA",
"state": "PA",
"postal_code": "170640550",
"telephone_number": "717-273-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 BUTLER RD",
"city": "MOUNT GRETNA",
"state": "PA",
"postal_code": "170646085",
"telephone_number": "717-273-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JORDAN",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gretna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.