Individual provider Active NPI

Jennifer Ann Jordan, PHD, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1043641574
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13353 Issued in FL
Practice address
1625 S Congress Ave Ste 406
Delray Beach, FL 33445-6304
Phone
(941) 212-9162
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH 13353 FL
Mental Health Counselor 101YM0800X MH 13353 FL Primary

Addresses

Primary practice location

1625 S Congress Ave Ste 406
Delray Beach, FL 33445-6304

Mailing address

PO Box 491
Parrish, FL 34219-0491
Phone (941) 212-9162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NJ, SC, NC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240523001316 FL Practitioner - Mental Health Counselor 6709228695 Reassigns benefits to 1 organization
I20251121001427 GA Practitioner - Mental Health Counselor 6709228695 Reassigns benefits to 1 organization
I20251129000673 NJ Practitioner - Mental Health Counselor 6709228695 Reassigns benefits to 1 organization
I20251201003131 SC Practitioner - Mental Health Counselor 6709228695 Reassigns benefits to 1 organization
I20251202000058 NC Practitioner - Mental Health Counselor 6709228695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 13353FLMDAddiction (Substance Use Disorder) Counselor
21805NCMDPharmacist
11268SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Oct 29, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 14, 2024 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 26, 1995 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1043641574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342190491",
            "telephone_number": "941-212-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S CONGRESS AVE STE 406",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456304",
            "telephone_number": "941-212-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH 13353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.