Active NPI
Jordan Pearce
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1942936182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC01104300
- Practice address
- 425 S Broad St Apt 2F
Philadelphia, PA 19147-1120 - Phone
- (832) 721-8092
- NPI assigned
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC01104300 | NJ | Primary |
Addresses
Primary practice location
425 S Broad St Apt 2F
Philadelphia, PA 19147-1120
Mailing address
425 S Broad St Apt 2F
Philadelphia, PA 19147-1120
Phone (832) 721-8092
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC01104300 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1942936182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S BROAD ST APT 2F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471120",
"telephone_number": "832-721-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S BROAD ST APT 2F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471120",
"telephone_number": "832-721-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC01104300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.