Jordan Jean Brockhoff, MSW, LCSW, ACT, ACT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5012 Issued in SD

Practice address

5021 S Bur Oak PL
Sioux Falls, SD 57108-2228

Phone

(605) 937-6654

Fax

(605) 937-6749

NPI assigned

Feb 3, 2020

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• J Brockhoff Therapy Services LLC

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1538930011
  Medicare reassignment NPD Authorized official
• Reverence Counseling Services, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1467118513
  Medicare reassignment NPD
• Southeastern Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1114002573
  NPD (past)
• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1689948317
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1619508116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-937-6654",
            "fax_number": "605-937-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-937-6654",
            "fax_number": "605-937-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKHOFF",
        "first_name": "JORDAN",
        "middle_name": "JEAN",
        "credential": "MSW, LCSW, ACT, ACT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.reverencecounseling.com",
            "affiliation": "N",
            "address_1": "5021 S Bur Oak Pl",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571082228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Boyd A Bristow, LPC-MH,QMHP,LMFT,MA
• Britt Zink Physical Therapy Services LLC
• Brittany Tennant Counseling, LLC
• Charles A Broberg, DC, PA,
• Christina Marie Brock, PT, DPT
• Brendan Brodersen, DO
• Stephanie O. Broderson, MD
• Julie Brodkorb, COA
• Meredyth Natalia Broers
• Alex Wilson Broesder, DDS

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.