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BETH ELLEN JORDAN RSA
NPI 1205399326
Counselor - Mental Health in Mattoon, IL

Active since April 08, 2019
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Beth Ellen Jordan Rsa NPPES

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

BETH ELLEN JORDAN RSA (NPI 1205399326) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1205399326
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETH ELLEN JORDANCredential: RSA
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610
Phone(217) 238-5700
Sole ProprietorNo
Enumeration DateApril 8, 2019
✔ NPI 1205399326 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 Names 1

Former Name (1)Beth Ellen Pendergast

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 Beth Jordan's NPI number?

The NPI number for Beth Jordan is 1205399326. It was assigned to this individual provider in the NPPES registry on April 8, 2019. The provider is also known as Beth Ellen Pendergast.

Where is Beth Jordan located?

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

What is Beth Jordan'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 Beth Jordan was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.