ELIZABETH A JORDAN LPC, RN, CRNP, PMHNP
NPI 1336428176
Counselor - Professional in Philadelphia, PA

Active since August 10, 2011
8001 STATE ROAD, MOD II, SUITE 107, PHILADELPHIA, PA 19136(215) 624-0790(215) 524-2998 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth A Jordan Lpc, Rn, Crnp, Pmhnp NPPES

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

ELIZABETH A JORDAN LPC, RN, CRNP, PMHNP (NPI 1336428176) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC005713) and active in the NPI registry since August 2011. She maintains a secondary practice location in Bryn Mawr.

NPPES Registry Identity

NPI1336428176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH A JORDANCredential: LPC, RN, CRNP, PMHNP
Location Address8001 STATE ROAD, MOD II, SUITE 107Philadelphia, PA 19136
Mailing Address8001 State Road, Mod Ii, Suite 107Philadelphia, PA 19136 · (215) 624-0790 · Fax (215) 524-2998
Fax(215) 524-2998
Sole ProprietorNo
Enumeration DateAugust 10, 2011
Last NPPES UpdateOctober 19, 2018
NPI 1336428176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC005713
Also ListedRegistered NurseTaxonomy 163W00000X · License RN662315 (PA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP019102 (PA)
8001 STATE ROAD, Philadelphia, PA 19136

Secondary Practice Location 1

Location 1234 S Bryn Mawr Ave, Suite 100Bryn Mawr, PA 19010-2133 · Phone (610) 644-6464 ext. 1414 · Fax (610) 889-0732

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
8001 STATE ROAD, MOD II, SUITE 105
PHILADELPHIA, PA 19136
Nurse Practitioner (Psychiatric/Mental Health)
8001 STATE ROAD, MOD II SUITE 105
PHILADELPHIA, PA 19136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336428176, enumerated as an "individual" on August 10, 2011.

The provider is located at 8001 STATE ROAD MOD II, SUITE 107 PHILADELPHIA, PA 19136 and the phone number is (215) 624-0790.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.