JENNIFER ANN JORDAN (PHD, LMHC) – Mental Health Counselor, NPI 1043641574
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,020 MENTAL HEALTH COUNSELOR in FL
Provider Addresses for JENNIFER ANN JORDAN (PHD, LMHC)
PO BOX 9478
BRADENTON, FL 342069478
Phone: (941) 782-4299
Fax: (941) 782-4301
Type: Mailing
2020 26TH AVE E
BRADENTON, FL 342087753
Phone: (941) 782-4600
Fax: (941) 782-4601
Type: Location
PO BOX 491
PARRISH, FL 342190491
Phone: (941) 212-9162
Type: Mailing
1625 S CONGRESS AVE STE 406
DELRAY BEACH, FL 334456304
Phone: (941) 212-9162
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240523001316 | I | Mental Health Counselor | FL | TBD |
| I20251121001427 | I | Mental Health Counselor | GA | TBD |
| I20251129000673 | I | Mental Health Counselor | NJ | TBD |
| I20251201003131 | I | Mental Health Counselor | SC | TBD |
| I20251202000058 | I | Mental Health Counselor | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| Clinical Psychologist | LA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Clinical Social Worker | MN |
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