Krystle Jordan, MFT in Bloomfield, CT - Medicare Marriage & Family Therapist Provider

Krystle Jordan, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Bloomfield, Connecticut. Her current practice location is 36 Ivory Rd, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 728-8245.

Krystle Jordan is licensed to practice in Connecticut (license number 3576) 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 1174282453.

Contact Information

	Krystle Jordan, MFT
	36 Ivory Rd, Bloomfield, CT 06002-2607
	(860) 728-8245
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krystle Jordan
Gender	Female
Speciality	Marriage & Family Therapist
Location	36 Ivory Rd, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174282453
Provider Enumeration Date: 12/14/2021
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6002335544
Enrollment ID: I20250528001129

Medical Identifiers

Medical identifiers for Krystle Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174282453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	18036417 (Connecticut)	Secondary
106H00000X	Marriage & Family Therapist	3576 (Connecticut)	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. Krystle Jordan allows following entities to bill medicare on her behalf.

Entity Name	Step Up Care Pc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156

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. Krystle Jordan 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
Krystle Jordan, MFT 36 Ivory Rd, Bloomfield, CT 06002-2607 Ph: (860) 728-8245	Krystle Jordan, MFT 36 Ivory Rd, Bloomfield, CT 06002-2607 Ph: (860) 728-8245

Reviews and Comments

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Krystle Jordan, MFT - Medicare Couples Therapy in Bloomfield, CT