Jordan Sam Harper, LCPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

XL6873 Issued in ME

Practice address

235 Center St
Brewer, ME 04412-1961

Phone

(207) 561-9496

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Higher Ground Services LLC

  • Community/Behavioral Health Agency
  • Brewer, ME
  • NPI 1265767446
  NPD
• McKay Counseling PLLC

  • Professional Counselor
  • Brewer, ME
  • NPI 1568058311
  NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1154045623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "FRANKLIN",
            "state": "ME",
            "postal_code": "046340077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CENTER ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121961",
            "telephone_number": "207-561-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JORDAN",
        "middle_name": "SAM",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL6873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh Handral
• Hannaford Bros Co LLC (Hannaford Food and Drug)
• Sonja S. Hannington, LCSW
• Amy J Hanscom, LADC
• Nicole M Hanson
• Linnea R Harrold, PAC
• Ashleigh A. Hart, L.AC.
• Annette Marie Hatch-Clein, FNP, P.MH CNS
• Crystal Hatch, RPH
• Elizabeth Randall Hatch

• Professional Counselor in Brewer, ME
• Providers in Brewer, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.