DEREK JORDAN (NPI# 1669911285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669911285 |
| Entity Type | Individual |
| Full Name | DEREK JORDAN |
| Practice Address |
25 Whitney Drive Suite 122 Milford OH 45150 |
| Practice Telephone | 5137539964 |
| Mailing Telephone | 5137539964 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDCIII.121091 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C.1600018 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356615975 | Derek Richard Jordan | Chiropractor | 2230 Edsel Ln Nw Ste 1, Corydon, IN 47112-2136 | 2012-02-29 |
| Street Address |
25 WHITNEY DRIVE SUITE 122 |
| City | MILFORD |
| State | OH |
| Zip Code | 45150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281899 | Emily Nicole Albacarys | Speech-Language Pathologist | 1099 Oh-131, Milford, OH 45150 | 2020-10-02 |
| 1306403118 | Baymark Health Services of Ohio | Clinic/Center | 749c State Route 28, Milford, OH 45150 | 2019-05-28 |
| 1881188878 | Lena M Todd | Counselor | 950 Lila Ave, Milford, OH 45150 | 2018-06-21 |
| 1457879678 | Kiley Buchanan | Specialist/Technologist | 1280 Eagle Ridge Road, Milford, OH 45150 | 2017-09-07 |
| 1144746488 | Amy Jo Pruitt | Speech-Language Pathologist | 7247 Zoar Road, Maineville, OH 45150 | 2017-08-18 |
| 1073057998 | Tina Chioua | Home Health Aide | 1189 Mellie Ln, Milford, OH 45150 | 2016-12-12 |
| 1902258015 | Megan Fisher | Optometrist | 1064 State Route 26 Suite B, Milford, OH 45150 | 2016-07-13 |
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| 1659794592 | Soodabeh Zia-ebrahmi | Pharmacist | 1082 Sr 28, Meijer Pharmacy, Milford, OH 45150 | 2014-01-29 |
| 1669721593 | Angela R Stoddard | Massage Therapist | 5613 Day Drive, Milford, OH 45150 | 2012-09-06 |
| Find all providers in zip 45150 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999880 | Jessica R. Page, LLC | Counselor | 57 Plains Rd Ste 1b, Milford, CT 06461-2573 | 2019-12-17 |
| 1386204634 | Carly Irene Ontko | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2019-06-19 |
| 1437623956 | Stacey Edney | Counselor | 769 E Masten Cir, Milford, DE 19963-1091 | 2019-01-17 |
| 1669945721 | Thomas John Karpinski Jr. | Counselor | 3174 Katie Ln, Milford, MI 48380-2021 | 2019-01-10 |
| 1881188878 | Lena M Todd | Counselor | 950 Lila Ave, Milford, OH 45150 | 2018-06-21 |
| 1679096093 | Joanne Lillian Montgomery | Counselor | 57 Plains Rd Ste 1e, Milford, CT 06461-2573 | 2017-07-18 |
| 1306398227 | William Pierce Beaver | Counselor | 50 W Techne Center Dr Ste B5, Milford, OH 45150-9798 | 2016-10-26 |
| 1346697224 | Holistic Counseling Services, LLC | Counselor | 663 West Ave Apt 24, Milford, CT 06461-3062 | 2016-05-19 |
| 1497100556 | Joan Standora | Counselor | 224 Broad St, Suite 206, Milford, PA 18337-1366 | 2016-04-26 |
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.