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JORDAN LEANN LIDSTROM LPC
NPI 1780193755
Counselor - Professional in Denver, CO

Active since September 21, 2017PECOS Enrolled
55 MADISON ST STE 240, DENVER, CO 80206(970) 310-3406 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2026, Jul 28, 2023, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Jordan Leann Lidstrom Lpc NPPES

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

JORDAN LEANN LIDSTROM LPC (NPI 1780193755) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0018702) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780193755
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN LEANN LIDSTROMCredential: LPC
Location Address55 MADISON ST STE 240Denver, CO 80206-5451
Mailing Address55 Madison St Ste 240Denver, CO 80206-5451 · (970) 310-3406
Phone(970) 310-3406
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJanuary 23, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1780193755 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 CO · LPC.0018702
55 MADISON ST STE 240, Denver, CO 80206
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12450 S Vine Street Denver CO 80208Denver, CO 80208 · Phone (303) 871-3626
Location 21646 Elmira StAurora, CO 80010-2122 · Phone (303) 617-2300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9830677533
PECOS Enrollment IDI20260203002910
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 Lidstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Centered Counseling, PC
Same address
Mental Health
55 MADISON ST STE 240
Denver, CO 80206
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
NPI 1154949295 (970) 310-3406

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 14

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

MISS SHANNON JULIA CAHILL MSW
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 692-5843
DR. ADARSH A SHETTY MD
Psychiatry & Neurology (Psychiatry)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
HEART CENTERED COUNSELING, PC
Counselor (Mental Health)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
ALEXANDER OTIS KISOR
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
ASHA LAINE WELLS MSW LCSW
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
JACOB BERGSTROM LPCC
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
SHAWN GRECO
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (303) 746-2869
AUDREY OURS LPC
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (855) 696-6801

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 Lidstrom's NPI number?

The NPI number for Jordan Lidstrom is 1780193755. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Jordan Lidstrom located?

Jordan Lidstrom practices at 55 Madison St Ste 240, Denver, CO 80206. The listed phone number is (970) 310-3406.

What is Jordan Lidstrom's specialty?

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

Is Jordan Lidstrom enrolled in Medicare?

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

Which organization bills Medicare for Jordan Lidstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Lidstrom reassigns Medicare benefits to Heart Centered Counseling, PC (Denver, CO). 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 Lidstrom'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 Jordan Lidstrom was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.