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JORDAN DANIELLE MALM LPC, PLPC
NPI 1629548631
Counselor - Mental Health in Belleville, IL

Active since December 03, 2018
12 N 64TH ST, BELLEVILLE, IL 62223(618) 877-4420 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Dec 3, 2018 (2 updates tracked since 2018).

About Jordan Danielle Malm Lpc, Plpc NPPES

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

JORDAN DANIELLE MALM LPC, PLPC (NPI 1629548631) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (178.020747) and active in the NPI registry since December 2018. She maintains a secondary practice location in Swansea.

NPPES Registry Identity

NPI1629548631
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN DANIELLE MALMCredential: LPC, PLPC
Location Address12 N 64TH STBelleville, IL 62223-3809
Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (888) 924-3786
Phone(618) 877-4420
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1629548631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IL · 178.020747✔ Licensed in MO · 2024035058
Also ListedSocial WorkerTaxonomy 104100000X
12 N 64TH ST, Belleville, IL 62223
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Other Names 1

Former Name (1)Jordan Danielle Breckenridge

Secondary Practice Location 1

Location 116 Emerald TerSwansea, IL 62226-2321 · Phone (618) 558-9035

Other Providers at the Same Location NPPES 20

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

ARLINDA LOUISE JONES-ABEKASIS LCPC
Counselor
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
KELSEY STOTT
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (888) 924-3786
COURTNEY ANNE CANNES LCPC
Counselor (Professional)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-9530
MRS. MELANIE ANN WYLIE RN MSN CNS APN
Registered Nurse (Psychiatric/Mental Health, Adult)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-7145
MR. CHARLES JOSEPH FRANKE III L.C.S.W.
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
RACHEL LEANN HODGE MSW
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
REBECCA LYNN CHOATE LPC
Counselor (Mental Health)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
AMY CYRUS ANP-BC
Nurse Practitioner (Family)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420

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 Jordan Malm's NPI number?

The NPI number for Jordan Malm is 1629548631. It was assigned to this individual provider in the NPPES registry on December 3, 2018. The provider is also known as Jordan Danielle Breckenridge.

Where is Jordan Malm located?

Jordan Malm practices at 12 N 64th St, Belleville, IL 62223. The listed phone number is (618) 877-4420.

What is Jordan Malm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Malm was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.