BRENNAN JORDAN
NPI 1619264082
Counselor in Philadelphia, PA

Q: 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.

Q: What is Brennan Jordan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: 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 10 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.

Active since July 06, 2011PECOS Enrolled

2647 MILLER ST, PHILADELPHIA, PA 19125(609) 330-1788 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1619264082

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBRENNAN JORDAN

Location Address2647 MILLER STPhiladelphia, PA 19125-2328

Mailing Address2647 Miller StPhiladelphia, PA 19125-2328 · (609) 330-1788

Phone(609) 330-1788

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2007

Enumeration DateJuly 6, 2011

Last NPPES UpdateSeptember 29, 2015

✔ NPI 1619264082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2647 MILLER ST, Philadelphia, PA 19125

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brennan Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002397478

PECOS Enrollment IDI20260224001873

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.

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.

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 10 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.