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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Derek R. Jordan

Professional Counselor in Milford, OH · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669911285

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Registry record

Entity type Individual (Type 1)
Name Derek R. Jordan
Sex Male
Practice address Milford, OH, 45150
Fax (513) 694-0168
Enumeration date Feb 15, 2017
Last updated in NPPES Jun 23, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License LICDC-CS.161401 (OH) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License E.2303715-SUPV (OH) Primary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License C.1600018 (OH) Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License LCDCII.121091 (OH) Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License LCDCIII.121091 (OH) Secondary

Other identifiers

Identifier Type State Issuer
0218756 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Derek Jordan practice?
The practice location on file with NPPES is in Milford, OH. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Derek Jordan?
The National Provider Identifier (NPI) for Derek Jordan is 1669911285, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-23.