Individual provider Active NPI

Susan Kleck Jordan, LPC

  • Professional Counselor
  • Aiken, SC
National Provider Identifier
1093898926
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8046 Issued in SC
Practice address
900 Trail Ridge Rd Ste 126
Aiken, SC 29803-7765
Phone
(803) 998-8008
NPI assigned
Oct 23, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 8046 SC Primary

Addresses

Primary practice location

900 Trail Ridge Rd Ste 126
Aiken, SC 29803-7765

Mailing address

900 Trail Ridge Rd Ste 126
Aiken, SC 29803-7765
Phone (803) 998-8008

Other identifiers 1

IdentifierTypeStateIssuer
1417719915MedicaidSC

Other names 1

  • Ms. Susan Kleck Jordan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240405001430 SC Practitioner - Mental Health Counselor 1254797475 Practice locations: Aiken, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Trail Ridge Rd
Aiken, SC 29803-7765
Phone (803) 998-8008

900 Trail Ridge Rd FL
Suite 1
Aiken, SC 29803-7765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8046SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan K Jordan Counseling Professional CurrentSince Jan 20, 2024 Accepting new patients
Counseling Associates of Aiken, LLC PastSince Dec 1, 2023 Accepting new patients

Locations

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

900 Trail Ridge Rd
Ste 126
Aiken, SC 29803
Phone (803) 998-8008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7746/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1093898926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD STE 126",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "803-998-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD STE 126",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "803-998-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SUSAN",
        "middle_name": "KLECK",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417719915",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "JORDAN",
            "middle_name": "KLECK",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.