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JORDAN VAN GERPEN BA
NPI 1053204396
Counselor - Mental Health in Mattoon, IL

Active since June 03, 2025
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Van Gerpen Ba NPPES

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

JORDAN VAN GERPEN BA (NPI 1053204396) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1053204396
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN VAN GERPENCredential: BA
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700
Phone(217) 238-5700
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1053204396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938
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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.

KIAYA LOY MS, MHP
Counselor
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
NERISSA JONES BA
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5735
JESSICA MILBURN LCPC
Counselor (Professional)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
TAYLOR DOWNEY MS
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
ALLEN M. CREAMEAN B.S.
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
MADELEINE STONE
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
AMY KIRKMAN
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
DANIELLE NEWCOMER
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700

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 Jordan Van Gerpen's NPI number?

The NPI number for Jordan Van Gerpen is 1053204396. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Jordan Van Gerpen located?

Jordan Van Gerpen practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5700.

What is Jordan Van Gerpen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Van Gerpen was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.