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JORDON M DISTAD LPCC
NPI 1346965506
Counselor - Professional in Mentor, OH

Active since October 10, 2022PECOS Enrolled
8224 MENTOR AVE STE 208, MENTOR, OH 44060(440) 392-2222(440) 565-2389 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordon M Distad Lpcc NPPES

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

JORDON M DISTAD LPCC (NPI 1346965506) is an individual professional provider in Mentor, Ohio, licensed in Ohio (E2203129) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346965506
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDON M DISTADCredential: LPCC
Location Address8224 MENTOR AVE STE 208Mentor, OH 44060-5743
Mailing Address8224 Mentor Ave Ste 208Mentor, OH 44060-5743 · (440) 392-2222 · Fax (440) 565-2389
Phone(440) 392-2222
Fax(440) 565-2389
Sole ProprietorYes
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1346965506 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 · E2203129
8224 MENTOR AVE STE 208, Mentor, OH 44060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordon M Distad Lpcc 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.

Other Providers at the Same Location NPPES 13

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

KRISTIN NICOLE TRACY LISW-SUPV
Social Worker (Clinical)
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
MADELINE MCDOWELL LPCC
Counselor
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 322-2222
GLOVAN POLLAK AND ASSOCIATES LLC
Community/Behavioral Health
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
KATHERINE J PETROCHIC LPCC
Counselor (Professional)
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
GENNA WEINBERG
Counselor (Mental Health)
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
ERIN KAY KOTKOWSKI PSYD
Psychologist
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
GLOVAN POLLAK AND ASSOCIATES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222
JOANNA M. KOUTROS M.D.
Psychiatry & Neurology (Psychiatry)
8224 MENTOR AVE STE 208
MENTOR, OH 44060
Lake County (440) 392-2222

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 Jordon Distad's NPI number?

The NPI number for Jordon Distad is 1346965506. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Jordon Distad located?

Jordon Distad practices at 8224 Mentor Ave Ste 208, Mentor, OH 44060. The listed phone number is (440) 392-2222.

What is Jordon Distad's specialty?

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

Is Jordon Distad enrolled in Medicare?

Yes. Jordon Distad is registered in the Medicare PECOS enrollment system.

What insurance does Jordon Distad accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Providence Health Plan and 1 other insurer list Jordon Distad 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.

When was this NPI record last updated?

The NPPES record for Jordon Distad was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.