Active NPI
Jordan Markoski
- Behavior Technician
- Belleview, FL
National Provider Identifier
1558848580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Behavior Services LLC | Past | 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.
-
- Early Intervention Provider Agency
- Belleview, FL
- NPI 1487102323
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.