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MRS. JORDAN UMPHREY MRC, LPCC-S
NPI 1245883388
Counselor - Professional in Moraine, OH

Active since July 18, 2019PECOS Enrolled
3095 KETTERING BLVD, MORAINE, OH 45439(937) 293-8300 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2022, Aug 18, 2021, Jul 18, 2019 (3 updates tracked since 2019).

About Mrs. Jordan Umphrey Mrc, Lpcc-s NPPES

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

MRS. JORDAN UMPHREY MRC, LPCC-S (NPI 1245883388) is an individual professional provider in Moraine, Ohio, licensed in Ohio (E.2102443-SUPV) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245883388
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JORDAN UMPHREYCredential: MRC, LPCC-S
Location Address3095 KETTERING BLVDMoraine, OH 45439-1983
Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983
Phone(937) 293-8300
Sole ProprietorNo
Enumeration DateJuly 18, 2019
Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1245883388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2102443-SUPV
3095 KETTERING BLVD, Moraine, OH 45439
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jordan Umphrey Mrc, Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jordan Umphrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Community Inc
Same address
Mental Health (Including Community Mental Health Center)
3095 KETTERING BLVD
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1639128176 (937) 293-8300

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.

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554
MORGAN RENCH
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300

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 Umphrey's NPI number?

The NPI number for Jordan Umphrey is 1245883388. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Jordan Umphrey located?

Jordan Umphrey practices at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 293-8300.

What is Jordan Umphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jordan Umphrey enrolled in Medicare?

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

Which organization bills Medicare for Jordan Umphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Umphrey reassigns Medicare benefits to South Community Inc (Moraine, OH). 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 Jordan Umphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Umphrey was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.