Individual provider Active NPI

Jordan Rossi, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1467236703
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83169 Issued in TX
Practice address
4425 S Mopac Expwy
Building 2, Suite 105
Austin, TX 78735-6723
Phone
(512) 761-7762
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83169 TX
Mental Health Counselor 101YM0800X 83169 TX Primary

Addresses

Primary practice location

4425 S Mopac Expwy
Building 2, Suite 105
Austin, TX 78735-6723

Mailing address

4425 S Mopac Expy
Building 2, Suite 105
Austin, TX 78735-6723
Phone (512) 761-7762

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
83169TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Rossi, Ma, LPC, PLLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

4425 S Mopac Expy
Ste 105
Austin, TX 78735
Phone (206) 385-9899

Organizations & group practices 1

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1467236703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S MOPAC EXPY",
            "address_2": "BUILDING 2, SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356723",
            "telephone_number": "512-761-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S MOPAC EXPWY",
            "address_2": "BUILDING 2, SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356723",
            "telephone_number": "512-761-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JORDAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83169",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.