Individual provider Active NPI

Jordyn Maria Roberson Savage, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1093594475
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015611 Issued in PA
Practice address
850 N 11TH St
Philadelphia, PA 19123-1957
Phone
(215) 769-1100
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015611 PA Primary

Addresses

Primary practice location

850 N 11TH St
Philadelphia, PA 19123-1957

Mailing address

4000 Presidential Blvd Apt 2801
Philadelphia, PA 19131-1713
Phone (937) 570-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002502 PA Practitioner - Mental Health Counselor 8921507682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drexel University College of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Neutral Ground Healing Collective, LLCGroup PAC ID 7012418783, 5 clinicians
Family Practice and Counseling Services NetworkGroup PAC ID 7012424740, 40 clinicians

Practice addresses (Care Compare)

500 N 13TH St
Philadelphia, PA 19123-3955
Phone (267) 636-6008

850 N 11TH St
Phila, PA 19123-1957
Phone (267) 597-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015611PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Rooted in Compassion, LLC CurrentSince Jun 15, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Neutral Ground Healing Collective, LLC Professional CurrentSince Sep 1, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients

Locations

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

Organizations & group practices 5

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1093594475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PRESIDENTIAL BLVD APT 2801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311713",
            "telephone_number": "937-570-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231957",
            "telephone_number": "215-769-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "JORDYN",
        "middle_name": "MARIA ROBERSON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.