JORDAN REBECCA SHAVERS BA, CDCA
NPI 1184434557
Counselor - Addiction (Substance Use Disorder) in Fairborn, OH

Q: What is Jordan Shavers's NPI number?

The NPI number for Jordan Shavers is 1184434557. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Q: What is Jordan Shavers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Shavers was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2025

119 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324(937) 405-1743 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Rebecca Shavers Ba, Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN REBECCA SHAVERS BA, CDCA (NPI 1184434557) is an individual addiction (substance use disorder) provider in Fairborn, Ohio, licensed in Ohio (188587) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1184434557

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJORDAN REBECCA SHAVERSCredential: BA, CDCA

Location Address119 E DAYTON YELLOW SPRINGS RDFairborn, OH 45324-3446

Mailing Address119 E Dayton Yellow Springs RdFairborn, OH 45324-3446 · (937) 405-1743

Phone(937) 405-1743

Sole ProprietorNo

Enumeration DateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1184434557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 188587

119 E DAYTON YELLOW SPRINGS RD, Fairborn, OH 45324

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYREETA A PEACOCK

Counselor (Addiction (Substance Use Disorder))

119 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH 45324

Greene County (937) 754-0528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Shavers's NPI number?

The NPI number for Jordan Shavers is 1184434557. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Jordan Shavers located?

Jordan Shavers practices at 119 E Dayton Yellow Springs Rd, Fairborn, OH 45324. The listed phone number is (937) 405-1743.

What is Jordan Shavers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordan Shavers was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.