JORDAN BRANTLEY
NPI 1811410194
Counselor in Greenville, SC

Active since July 19, 2017
124 MALLARD ST, GREENVILLE, SC 29601(864) 241-1040 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Jordan Brantley NPPES

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

JORDAN BRANTLEY (NPI 1811410194) is an individual counselor in Greenville, South Carolina and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1811410194
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN BRANTLEY
Location Address124 MALLARD STGreenville, SC 29601
Mailing Address124 Mallard StGreenville, SC 29601-4046 · (864) 241-1040
Sole ProprietorYes
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1811410194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
124 MALLARD ST, Greenville, SC 29601

Other Identifiers 1

Medicaid3333SC

Other Providers at the Same Location NPPES 20

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

Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601

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 Brantley's NPI number?

The NPI number for Jordan Brantley is 1811410194. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jordan Brantley located?

Jordan Brantley practices at 124 Mallard St, Greenville, SC 29601. The listed phone number is (864) 241-1040.

What is Jordan Brantley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Brantley was last updated on July 21, 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.