JORDAN ELIZABETH OBERHOLTZER
NPI 1679221949
Counselor - Mental Health in Elyria, OH

Active since March 15, 2022Opted out of Medicare · through Jan 15, 2028

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Elizabeth Oberholtzer NPPES

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

JORDAN ELIZABETH OBERHOLTZER (NPI 1679221949) is an individual mental health provider in Elyria, Ohio and active in the NPI registry since March 2022. She has opted out of Medicare through January 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679221949
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN ELIZABETH OBERHOLTZER
Location Address312 3RD STElyria, OH 44035-5618
Mailing Address686 Perry StVermilion, OH 44089-1162 · (440) 522-9381
Sole ProprietorYes
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1679221949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
312 3RD ST, Elyria, OH 44035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordan Elizabeth Oberholtzer has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2026 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2026
Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 17

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

Counselor
312 3RD ST
ELYRIA, OH 44035
Counselor (Mental Health)
312 3RD ST
ELYRIA, OH 44035
Counselor (Professional)
312 3RD ST
ELYRIA, OH 44035
Social Worker
312 3RD ST
ELYRIA, OH 44035
Counselor (Mental Health)
312 3RD ST
ELYRIA, OH 44035
Counselor (Mental Health)
312 3RD ST
ELYRIA, OH 44035
Counselor
312 3RD ST
ELYRIA, OH 44035
Social Worker (Clinical)
312 3RD ST
ELYRIA, OH 44035

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 Oberholtzer's NPI number?

The NPI number for Jordan Oberholtzer is 1679221949. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Jordan Oberholtzer located?

Jordan Oberholtzer practices at 312 3rd St, Elyria, OH 44035. The listed phone number is (440) 323-5707.

What is Jordan Oberholtzer's specialty?

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

Is Jordan Oberholtzer enrolled in Medicare?

No. Jordan Oberholtzer has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jordan Oberholtzer accept?

Health plans from Anthem Blue Cross and Blue Shield list Jordan Oberholtzer 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 Oberholtzer was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.