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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: October 18, 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
Phone(210) 209-0642
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Decleene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling4life, LLC
0.3 mi
Professional
16607 BLANCO RD STE 1404
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1932519063 (210) 209-0642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JUSTINE CASAREZ
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642
MRS. STEPHANIE A. HOFBAUER M.A., LPC
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 606-1934
KAITLIN LEIGH LACY LPC
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642
ROBYN HARRINGTON
Social Worker (Clinical)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642
MS. MEGAN ANN SLOVACEK
Counselor (Mental Health)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642
GOODMINDRX
Pediatrics (Developmental - Behavioral Pediatrics)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (830) 800-0213
SARAH ELIZABETH ROGERS LPC
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642
VANESSA L ZAPATA
Counselor (Professional)
17206 BLANCO RD STE 2101
SAN ANTONIO, TX 78232
Bexar County (210) 209-0642

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.

Which organization bills Medicare for Jordan Decleene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Decleene reassigns Medicare benefits to Counseling4life, LLC (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Decleene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Decleene accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Jordan Decleene 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 Decleene was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.