Individual provider Active NPI

Jordan Riley Tasker, LLPC

  • Professional Counselor
  • Rochester Hills, MI
National Provider Identifier
1467004879
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1955 W Hamlin Rd Ste 101
Rochester Hills, MI 48309-3338
Phone
(248) 301-6455
NPI assigned
Jul 15, 2019
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 Primary

Addresses

Primary practice location

1955 W Hamlin Rd Ste 101
Rochester Hills, MI 48309-3338

Mailing address

1955 W Hamlin Rd Ste 101
Rochester Hills, MI 48309-3338
Phone (248) 301-6455

Other names 1

  • Jordan Riley Sargent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240125001624 MI Practitioner - Mental Health Counselor 5294188348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Oakland Univ, William Beaumont School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1955 W Hamlin Rd
Suite 101
Rochester Hills, MI 48309-3338
Phone (248) 301-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root & Bloom Therapy PLLC Professional CurrentSince May 10, 2024 Accepting new patients
Macomb Therapy Group, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

42815 Garfield Rd
Ste 201
Clinton Twp, MI 48038
Phone (586) 333-5328

1955 W Hamlin Rd
Ste 101
Rochester Hills, MI 48309
Phone (248) 301-6455

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1467004879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W HAMLIN RD STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093338",
            "telephone_number": "248-301-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W HAMLIN RD STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093338",
            "telephone_number": "248-301-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKER",
        "first_name": "JORDAN",
        "middle_name": "RILEY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SARGENT",
            "middle_name": "RILEY",
            "credential": "LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.