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CHARLES JORDAN
NPI 1578060794
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since April 13, 2018
4124 LINDEN AVE, DAYTON, OH 45432(937) 522-0869 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Jordan NPPES

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

CHARLES JORDAN (NPI 1578060794) is an individual addiction (substance use disorder) provider in Dayton, Ohio and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1578060794
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES JORDAN
Location Address4124 LINDEN AVEDayton, OH 45432-3018
Mailing Address4124 Linden AveDayton, OH 45432-3018
Phone(937) 522-0869
Sole ProprietorNo
Enumeration DateApril 13, 2018
✔ NPI 1578060794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4124 LINDEN AVE, Dayton, OH 45432
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Other Providers at the Same Location NPPES 20

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

TENA M MCNEIL LICDC
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (844) 300-0102
MR. TAYLOR CHRISTIAN BEATTY-FRAZIER PEER SERVICES
Peer Specialist
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
MICHAEL WARD
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
MS. JANIELLE TENISE DAVIS LPN
Licensed Practical Nurse
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
DAWNIECE ROSS
Case Manager/Care Coordinator
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
KAMEO R TOOSON CDCA II
Counselor (Addiction (Substance Use Disorder))
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
ANTHONY RAY BROWN
Case Manager/Care Coordinator
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961
CHERIKA WILLIAMS
Social Worker (Clinical)
4124 LINDEN AVE
DAYTON, OH 45432
Greene County (937) 522-0961

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 Charles Jordan's NPI number?

The NPI number for Charles Jordan is 1578060794. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Charles Jordan located?

Charles Jordan practices at 4124 Linden Ave, Dayton, OH 45432. The listed phone number is (937) 522-0869.

What is Charles Jordan'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 Charles Jordan was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.