Kintsugi Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KINTSUGI COUNSELING SERVICES LLC

Practice address

760 Constitution Dr Ste 106
Exton, PA 19341-1149

Phone

(570) 594-6911

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Jordan Justine SchrockNPI 1588038269

Title

Licensed Professional Counselor

Phone

(570) 594-6911

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Schrock, MA, LPC, CCTP, PMH-C

  • Counselor
  • Downingtown, PA
  • NPI 1588038269
  NPD (past) Authorized official

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1245150044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MEADOWLAKE DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352134",
            "telephone_number": "570-594-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CONSTITUTION DR STE 106",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411149",
            "telephone_number": "570-594-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHROCK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "JUSTINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "570-594-6911"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinetx Chiropractic & Rehab P.C.
• James William King, LMFT
• Kristi King
• Kinisi
• Matthew Kinney, LMT
• Lavinia Davis Kitson, PA-C
• Emilia Sophia Kleinman, D.O.
• Robert Klepacki, PHARM.D.
• Stacey Kneule
• Natalie C Knitowski, PA-C

• Professional Counselor in Exton, PA
• Providers in Exton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.