Mrs Jordan Nichole Cantrell, LPC in Clayton, MO

Mrs Jordan Nichole Cantrell, LPC is a medicare enrolled "Counselor - Professional" provider in Clayton, Missouri. Her current practice location is 230 S Bemiston Ave Ste 1006, Clayton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 925-2634.

Mrs Jordan Nichole Cantrell is licensed to practice in Missouri (license number 2022009284) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255150769.

Contact Information

	Mrs Jordan Nichole Cantrell, LPC
	230 S Bemiston Ave Ste 1006, Clayton, MO 63105-1907
	(314) 925-2634
	(314) 582-5614

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jordan Nichole Cantrell
Gender	Female
Speciality	Counselor - Professional
Location	230 S Bemiston Ave Ste 1006, Clayton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255150769
Provider Enumeration Date: 10/10/2024
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3870026750
Enrollment ID: I20241030003737

Medical Identifiers

Medical identifiers for Mrs Jordan Nichole Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255150769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2022009284 (Missouri)	Secondary
101YP2500X	Counselor - Professional	2022009284 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jordan Nichole Cantrell allows following entities to bill medicare on her behalf.

Entity Name	Sonder Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578156329 PECOS PAC ID: 9133524788 Enrollment ID: O20210820000758

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jordan Nichole Cantrell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jordan Nichole Cantrell, LPC 230 S Bemiston Ave Ste 1006, Clayton, MO 63105-1907 Ph: (314) 925-2634	Mrs Jordan Nichole Cantrell, LPC 230 S Bemiston Ave Ste 1006, Clayton, MO 63105-1907 Ph: (314) 925-2634

Reviews and Comments

Counselor in Clayton, MO

Cristina Smugala, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 N Meramec Ave, Suite 109, Clayton, MO 63105 Phone: 314-265-3756
Denise Elaine Fattic, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 S Bemiston Ave Ste 920, Clayton, MO 63105 Phone: 800-353-6402
Lydia Sparling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Bonhomme Ave Ste 201, Clayton, MO 63105 Phone: 314-472-8570
Nadia Raza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 S Bemiston Ave Ste 920, Clayton, MO 63105 Phone: 800-353-6402
Mr. Chester Overbay Smith, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S Meramec Ave, Suite 214, Clayton, MO 63105 Phone: 314-721-7885 Fax: 314-721-3611
Kelsey Wooten, Counselor Medicare: Medicare Enrolled Practice Location: 230 S Bemiston Ave Ste 1006, Clayton, MO 63105 Phone: 314-925-2634
Lisa Carroll, Counselor Medicare: Medicare Enrolled Practice Location: 141 N Meramec Ave, Suite 109, Clayton, MO 63105 Phone: 773-980-6962

Mrs Jordan Nichole Cantrell, LPC - Medicare Counselor in Clayton, MO