Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek R. Jordan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669911285

Derek R. Jordan is a Mental Health Counselor in Milford, Ohio. Qualified in 2016, 10 years ago. Practices with Sunrise Treatment Center LLC, a 4-clinician group, works from 12 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

25 Whitney Dr Ste 122
Milford, OH 45150-8400
Phone: (513) 941-4999
Fax: (513) 694-0168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 7075 Industrial Rd Ste A, Florence, KY 41042-3053 — (513) 941-4999
  • 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 — (513) 941-4999
  • 1718 Central Pkwy, Cincinnati, OH 45214-2355 — (513) 941-4999
  • 680 Northland Blvd Ste 200, Cincinnati, OH 45240-3248 — (513) 941-4999
  • 100 Highview Blvd, Columbus, OH 43207-6023 — (513) 941-4999
  • 1435 Cincinnati St, Dayton, OH 45417-4614 — (513) 941-4999
  • 160 N Breiel Blvd, Middletown, OH 45042-3806 — (513) 941-4999
  • 1130 Garbry Rd, Piqua, OH 45356-8217 — (513) 941-4999
  • 1907 11th St, Portsmouth, OH 45662-4531 — (513) 941-4999
  • 1421 Parker Ct, Springfield, OH 45504-2855 — (513) 941-4999
  • 247 Cic Blvd, West Union, OH 45693-7512 — (513) 941-4999

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2303715-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC-CS.161401 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence C.1600018 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCII.121091 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.121091 (OH)

Record details

NPI number1669911285
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2017
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sunrise Treatment Center Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Milford