Individual provider Active NPI

Jordan Schrock, MA, LPC, CCTP, PMH-C

  • Counselor
  • Downingtown, PA
National Provider Identifier
1588038269
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC010434 Issued in PA
Practice address
721 E Lancaster Ave Ste 1B
Downingtown, PA 19335-2719
Phone
(484) 237-1853
NPI assigned
Nov 18, 2015
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC010434 PA Primary

Addresses

Primary practice location

721 E Lancaster Ave Ste 1B
Downingtown, PA 19335-2719

Mailing address

63 Meadowlake Dr
Downingtown, PA 19335-2134
Phone (570) 594-6911

Other practice location 1

760 Constitution Dr Ste 106
Exton, PA 19341-1149
Phone (570) 594-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2024 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC010434PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kintsugi Counseling Services LLC Past Accepting new patients
New Beginnings Therapeutic Services Past Accepting new patients

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1588038269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MEADOWLAKE DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352134",
            "telephone_number": "570-594-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E LANCASTER AVE STE 1B",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352719",
            "telephone_number": "484-237-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Constitution Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411149",
            "country_code": "US",
            "telephone_number": "570-594-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "JORDAN",
        "credential": "MA, LPC, CCTP, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC010434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.