Krystle Jordan, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3576 Issued in CT

Practice address

36 Ivory Rd
Bloomfield, CT 06002-2607

Phone

(860) 728-8245

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  CT

  Medicare reassignment NPD
• The Krys Center LLC.

  • Marriage & Family Therapist
  • Bloomfield, CT
  • NPI 1841174919
  NPD Authorized official
• Advanced Psychotherapy Practice LLC

  • Addiction (Substance Use Disorder) Counselor
  • Stratford, CT
  • NPI 1982349320
  NPD (past)
• Southeastern Council on Alcoholism and Drug Dependence Inc

  dba SCADD Inc

  • Substance Abuse Rehabilitation Facility
  • Lebanon, CT
  • NPI 1003960022
  NPD (past)
• Southeastern Council on Alcoholism and Drug Dependence Inc

  dba Scadd

  • Primary Care Clinic/Center
  • New London, CT
  • NPI 1750256806
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1174282453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 IVORY RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022607",
            "telephone_number": "860-728-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 IVORY RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022607",
            "telephone_number": "860-728-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KRYSTLE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "18036417",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keniesha Johnson, LCSW
• Samantha Johnson
• Michelle A Joiner
• Wanda Jones, CMAA
• Akesha Marie Jordan, LMSW
• Melissa Jorz
• Betty Joseph, PT
• Eric Joseph
• Journey to Serenity PLLC
• Judith G. Hunt, LMFT, LLC

• Marriage & Family Therapist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.