Individual provider Active NPI

Jordan Thomas Henning, LSW

  • Social Worker
  • Reading, PA
National Provider Identifier
1346963576
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
139753 Issued in PA
Practice address
645 Penn St FL 2
Reading, PA 19601-3543
Phone
(610) 373-4281
NPI assigned
Sep 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 139753 PA Primary

Addresses

Primary practice location

645 Penn St FL 2
Reading, PA 19601-3543

Mailing address

67 Winchester CT
Reading, PA 19606-9500
Phone (610) 507-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
139753PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Center, Inc. CurrentSince Sep 25, 2022 Accepting new patients
Berks Counseling Center, Inc. CurrentSince Jul 10, 2023 Accepting new patients

Locations

645 Penn St
Fl 2
Reading, PA 19601
Phone 6103734281 ext. 247

645 Penn St
Fl 4
Reading, PA 19601
Phone (484) 755-5736

Interoperability endpoints

  • Direct secure messaging: jordan.henning.p1@direct.berkscc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1346963576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WINCHESTER CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069500",
            "telephone_number": "610-507-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PENN ST FL 2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013543",
            "telephone_number": "610-373-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "139753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.