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

Active since August 10, 2011PECOS EnrolledAccepts Medicare Assignment
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: August 16, 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 is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2018).

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
Phone(215) 624-0790
Fax(215) 524-2998
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Jordan Lpc, Rn, Crnp, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244636819
PECOS Enrollment IDI20210907001945
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

ERIC SINTIM-ABOAGYE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8001 STATE ROAD, MOD II SUITE 105
PHILADELPHIA, PA 19136
Philadelphia County (856) 271-9249
ADEOLA OLUWABUSI CRNP
Nurse Practitioner (Psychiatric/Mental Health)
8001 STATE ROAD, MOD II, SUITE 105
PHILADELPHIA, PA 19136
Philadelphia County (215) 688-2511

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 Elizabeth Jordan's NPI number?

The NPI number for Elizabeth Jordan is 1336428176. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Elizabeth Jordan located?

Elizabeth Jordan practices at 8001 State Road Mod II, Suite 107, Philadelphia, PA 19136. The listed phone number is (215) 624-0790.

What is Elizabeth Jordan's specialty?

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

Is Elizabeth Jordan enrolled in Medicare?

Yes. Elizabeth Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Jordan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Elizabeth 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.

Is Elizabeth Jordan affiliated with any hospitals?

According to CMS data, Elizabeth Jordan is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Jordan was last updated on October 19, 2018. 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.