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

Jordan M Penberthy, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760020440

Jordan M Penberthy, CDCA is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

1791 Alum Creek Dr
Columbus, OH 43207-1757
Phone: (614) 445-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 161775 (OH)

Record details

NPI number1760020440
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedDecember 13, 2019
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

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