JORDAN TREJO (LPC) – Professional Counselor, NPI 1124740329

JORDAN TREJO (LPC) is a healthcare provider. based in Defiance, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. C.2204564 (OH). The NPI Number for JORDAN TREJO (LPC) is 1124740329

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN TREJO (LPC)
NPI
1124740329
Phone
(419) 782-9920
Address
511 PERRY ST
Enumeration Date
14 September 2022
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197829920
Graduation Year
2022 (4 years ago)
PAC ID
9638690449
Group Practice PAC ID
7113221508
Professional Enrollment ID
I20250310002463
Address ID
OH435122123DE511XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for JORDAN TREJO (LPC)

  • 511 PERRY ST

    DEFIANCE, OH 435122123

    Phone: (419) 782-9920

    Mailing address matches the actual address.

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: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250310002463IMental Health CounselorOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 43512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113221508View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
P S Y C H I A T R YOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What federal number belongs to JORDAN TREJO (LPC)?
The federal identifier for JORDAN TREJO (LPC) is NPI 1124740329.
Does this profile mean JORDAN TREJO (LPC) is currently active?
Yes — JORDAN TREJO (LPC) appears active in the national provider directory.
What field does JORDAN TREJO (LPC) work in?
You can think of JORDAN TREJO (LPC) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Does JORDAN TREJO (LPC) practice in Ohio?
You will see Defiance, Ohio on file for JORDAN TREJO (LPC) alongside any extra practice locations.
Is JORDAN TREJO (LPC) a real provider?
This page reflects official NPPES data for NPI 1124740329. Always confirm identity and privileges with the practice and licensing boards.

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