BRENNAN JORDAN
NPI 1619264082
Counselor in Philadelphia, PA
About Brennan Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENNAN JORDAN (NPI 1619264082) is an individual counselor in Philadelphia, Pennsylvania and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brennan Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brennan Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19123
- Reassigned Medicare billing, Pennsylvania enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brennan Jordan's NPI number?
The NPI number for Brennan Jordan is 1619264082. It was assigned to this individual provider in the NPPES registry on July 6, 2011.
Where is Brennan Jordan located?
Brennan Jordan practices at 2647 Miller St, Philadelphia, PA 19125. The listed phone number is (609) 330-1788.
What is Brennan Jordan's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Brennan Jordan enrolled in Medicare?
Yes. Brennan Jordan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brennan Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brennan Jordan reassigns Medicare benefits to Family Practice & Counseling Services Network, Inc. (Philadelphia, PA). 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 Brennan Jordan'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 Brennan Jordan was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Brennan Jordan · NPI 1619264082
Counselor provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 6, 2011.
## Identity
- **NPI:** 1619264082 (Entity type: Individual)
- **Enumerated:** July 6, 2011
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2647 MILLER ST, Philadelphia, PA 19125-2328
- **Phone:** (609) 330-1788
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Practice & Counseling Services Network, Inc. (NPI 1356335129, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** September 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1619264082) · Data from the CMS NPPES public registry.