1. Home
  2. Directory
  3. South Carolina
  4. Simpsonville
  5. Counselor
  6. NPI Profile

SHEILA SAMUEL JORDAN
NPI 1013496983
Counselor - Mental Health in Simpsonville, SC

Active since August 10, 2018PECOS Enrolled
20 POWDERHORN RD, SIMPSONVILLE, SC 29681(864) 963-3421(864) 962-0758 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheila Samuel Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEILA SAMUEL JORDAN (NPI 1013496983) is an individual mental health provider in Simpsonville, South Carolina and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013496983
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHEILA SAMUEL JORDAN
Location Address20 POWDERHORN RDSimpsonville, SC 29681-3399
Mailing Address20 Powderhorn RdSimpsonville, SC 29681-3399 · (864) 963-3421 · Fax (864) 962-0758
Phone(864) 963-3421
Fax(864) 962-0758
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 10, 2018
✔ NPI 1013496983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20 POWDERHORN RD, Simpsonville, SC 29681
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheila Samuel Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597222653
PECOS Enrollment IDI20260807003329
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sheila Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
12 mi
Mental Health (Including Community Mental Health Center)
124 MALLARD ST
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 25 clinicians in this Medicare group
NPI 1013476787 (864) 241-1040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYN WASHINGTON
Case Manager/Care Coordinator
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
LAURA POINDEXTER
Counselor (Mental Health)
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
PATRICIA JONES
Case Manager/Care Coordinator
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
BRIAN DAVIS
Case Manager/Care Coordinator
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
PAMELA RENEE JORDAN
Counselor (Mental Health)
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 297-5044
LALITA L DRAKE
Case Manager/Care Coordinator
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
DANIEL JOHNSON
Counselor (Mental Health)
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421
RONNIE WILKINS
Case Manager/Care Coordinator
20 POWDERHORN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 963-3421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheila Jordan's NPI number?

The NPI number for Sheila Jordan is 1013496983. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Sheila Jordan located?

Sheila Jordan practices at 20 Powderhorn Rd, Simpsonville, SC 29681. The listed phone number is (864) 963-3421.

What is Sheila Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sheila Jordan enrolled in Medicare?

Yes. Sheila Jordan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheila Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Jordan reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Greenville, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheila Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Jordan accept?

Health plans from First Choice Next list Sheila Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Jordan was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.