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CHANTEL ALEXUS JORDAN
NPI 1750856134
Counselor - Professional in Minneapolis, MN

Active since October 11, 2018PECOS Enrolled
5201 BRYANT AVE N, MINNEAPOLIS, MN 55430(612) 284-8115(763) 273-8892 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Nov 16, 2023, Oct 11, 2018 (3 updates tracked since 2018).

About Chantel Alexus Jordan NPPES

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

CHANTEL ALEXUS JORDAN (NPI 1750856134) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (3983) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750856134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHANTEL ALEXUS JORDAN
Location Address5201 BRYANT AVE NMinneapolis, MN 55430-3588
Mailing Address7191 17th St NOakdale, MN 55128-5405 · (651) 235-7232
Phone(612) 284-8115
Fax(763) 273-8892
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 11, 2018
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1750856134 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 MN · 3983
5201 BRYANT AVE N, Minneapolis, MN 55430
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantel Alexus Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749753440
PECOS Enrollment IDI20260624003012
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 Chantel Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illumin8 Psychotherapy And Integrative Health
17 mi
Mental Health
7191 17TH ST N
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1659258291 (651) 235-7232

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 7

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

CENTRE FOR AFRICAN IMMIGRANTS RECOVERING FROM DRUG AND ALCOHOL ADDICTI
Substance Abuse Rehabilitation Facility
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 227-2719
MINNESOTA HOPE INSITITUTE
Counselor (Addiction (Substance Use Disorder))
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 504-2047
NICOLE LEANNE BERGSTRESSER MA, LADC
Counselor (Addiction (Substance Use Disorder))
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 284-8115
UNIQUE FAMILY SERVICE, INC
Community/Behavioral Health
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 703-2901
MS. ALLISUN ADILEEN PALMA-RUWE MA, LMFT, RYT 200
Marriage & Family Therapist
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 486-2638
NISAKO FAMILY SUPPORT SERVICES
Home Health
5201 BRYANT AVE N
MINNEAPOLIS, MN 55430
Hennepin County (612) 703-2901
NISAKO SERVICES, LLC
Home Health
5201 BRYANT AVE N, SUITE 108
MINNEAPOLIS, MN 55430
Hennepin County (612) 703-2901

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 Chantel Jordan's NPI number?

The NPI number for Chantel Jordan is 1750856134. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Chantel Jordan located?

Chantel Jordan practices at 5201 Bryant Ave N, Minneapolis, MN 55430. The listed phone number is (612) 284-8115.

What is Chantel Jordan's specialty?

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

Is Chantel Jordan enrolled in Medicare?

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

Which organization bills Medicare for Chantel Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chantel Jordan reassigns Medicare benefits to Illumin8 Psychotherapy And Integrative Health (Oakdale, MN). 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 Chantel Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chantel Jordan was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.