Individual provider Active NPI

Jordan Trent

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1700478468
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4878-226 Issued in WI
Practice address
1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone
(715) 246-4840
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4878-226 WI Primary

Addresses

Primary practice location

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133

Mailing address

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 246-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20250403000773 WI Practitioner - Mental Health Counselor 7214450907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Therapy Associates LLCGroup PAC ID 5395273536, 28 clinicians

Practice addresses (Care Compare)

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 246-4840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4878-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

1120 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 834-8414

150 W 1st St
Ste 270
New Richmond, WI 54017
Phone 7152464840130

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1700478468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-246-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-246-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4878-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.