Individual provider Active NPI

Jordan Markoski

  • Behavior Technician
  • Belleview, FL
National Provider Identifier
1558848580
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10252 SE US Highway 441 Unit 3
Belleview, FL 34420-7822
Phone
(352) 559-2539
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

10252 SE US Highway 441 Unit 3
Belleview, FL 34420-7822

Mailing address

10252 SE US Highway 441 Unit 3
Belleview, FL 34420-7822
Phone (352) 559-2539

Other practice location 1

1041 W Bridge St
Phoenixville, PA 19460
Phone (610) 415-9301

Other practice location 2

11 Robinson St
Pottstown, PA 19464-6421
Phone (484) 941-0500

Other practice location 3

1041 W Bridge St
Phoenixville, PA 19460
Phone (610) 415-9301

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Accumedic Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavior Services LLC PastSince May 1, 2022 Accepting new patients

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1558848580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10252 SE US HIGHWAY 441 UNIT 3",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344207822",
            "telephone_number": "352-559-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10252 SE US HIGHWAY 441 UNIT 3",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344207822",
            "telephone_number": "352-559-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 W Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "19460",
            "country_code": "US",
            "telephone_number": "610-415-9301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Robinson St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194646421",
            "country_code": "US",
            "telephone_number": "484-941-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 W Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "19460",
            "country_code": "US",
            "telephone_number": "610-415-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKOSKI",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Accumedic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1041 W Bridge St",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.