JORDAN DECLEENE LPC
NPI 1689543175
Counselor - Professional in San Antonio, TX

Active since November 03, 2025PECOS Enrolled
17206 BLANCO RD STE 2101, SAN ANTONIO, TX 78232(210) 209-0642(855) 357-8282 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Decleene Lpc NPPES

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

JORDAN DECLEENE LPC (NPI 1689543175) is an individual professional provider in San Antonio, Texas, licensed in Texas (92107) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689543175
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN DECLEENECredential: LPC
Location Address17206 BLANCO RD STE 2101San Antonio, TX 78232-2830
Mailing Address17206 Blanco Rd Ste 2101San Antonio, TX 78232-2830 · (210) 209-0642 · Fax (855) 357-8282
Fax(855) 357-8282
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
NPI 1689543175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 92107
17206 BLANCO RD STE 2101, San Antonio, TX 78232

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

PECOS PAC ID7416448774
PECOS Enrollment IDI20251114000366
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.

Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Social Worker (Clinical)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Counselor (Mental Health)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Pediatrics (Developmental - Behavioral Pediatrics)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232

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 Decleene's NPI number?

The NPI number for Jordan Decleene is 1689543175. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Jordan Decleene located?

Jordan Decleene practices at 17206 Blanco Rd Ste 2101, San Antonio, TX 78232. The listed phone number is (210) 209-0642.

What is Jordan Decleene's specialty?

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

Is Jordan Decleene enrolled in Medicare?

Yes. Jordan Decleene is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Decleene was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.