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JORDAN PANGALLO-KOPROWSKI LPCC, LICDC, LPC
NPI 1639616592
Counselor - Professional in Burlington, MA

Active since January 30, 2017PECOS Enrolled
111 S BEDFORD ST STE 205, BURLINGTON, MA 01803(888) 858-1723 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Jan 23, 2019, Jan 30, 2017 (3 updates tracked since 2017).

About Jordan Pangallo-koprowski Lpcc, Licdc, Lpc NPPES

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

JORDAN PANGALLO-KOPROWSKI LPCC, LICDC, LPC (NPI 1639616592) is an individual professional provider in Burlington, Massachusetts, licensed in Ohio (E.1700245) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639616592
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN PANGALLO-KOPROWSKICredential: LPCC, LICDC, LPC
Location Address111 S BEDFORD ST STE 205Burlington, MA 01803-5145
Mailing Address446 Morgan StCincinnati, OH 45206-2348 · (513) 834-0763 · Fax (513) 873-1567
Phone(888) 858-1723
Sole ProprietorNo
Enumeration DateJanuary 30, 2017
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1639616592 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 OH · E.1700245
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161566 (OH)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
111 S BEDFORD ST STE 205, Burlington, MA 01803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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)

Jordan Pangallo-koprowski Lpcc, Licdc, Lpc 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 8

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

GRT PRACTICE GROUP PLC
Family Medicine
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (800) 683-8313
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547
RECOVER TOGETHER, INC.
Clinic/Center (Adult Mental Health)
111 S BEDFORD ST STE 205
BURLINGTON, MA 01803
Middlesex County (512) 439-3547

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 Pangallo-koprowski's NPI number?

The NPI number for Jordan Pangallo-koprowski is 1639616592. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Jordan Pangallo-koprowski located?

Jordan Pangallo-koprowski practices at 111 S Bedford St Ste 205, Burlington, MA 01803. The listed phone number is (888) 858-1723.

What is Jordan Pangallo-koprowski's specialty?

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

Is Jordan Pangallo-koprowski enrolled in Medicare?

Yes. Jordan Pangallo-koprowski is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Pangallo-koprowski accept?

Health plans from CareSource and Molina Healthcare list Jordan Pangallo-koprowski 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 Jordan Pangallo-koprowski was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.