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DEREK R. JORDAN
NPI 1669911285
Counselor - Professional in Milford, OH

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment
25 WHITNEY DR STE 122, MILFORD, OH 45150(513) 941-4999(513) 694-0168 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2025, Nov 14, 2024, Aug 14, 2023 and 3 more (6 updates tracked since 2017).

About Derek R. Jordan NPPES

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

DEREK R. JORDAN (NPI 1669911285) is an individual professional provider in Milford, Ohio, licensed in Ohio (E.2303715-SUPV) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669911285
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEREK R. JORDAN
Location Address25 WHITNEY DR STE 122Milford, OH 45150-8400
Mailing Address6460 Harrison Ave Ste 200Cincinnati, OH 45247-7958 · (513) 941-4999 · Fax (513) 694-0168
Phone(513) 941-4999
Fax(513) 694-0168
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2017
Last NPPES UpdateJune 23, 20266 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1669911285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.2303715-SUPV✔ Licensed in OH · C.1600018
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC-CS.161401 (OH), LCDCII.121091 (OH), LCDCIII.121091 (OH)
25 WHITNEY DR STE 122, Milford, OH 45150
Open in Google Maps ↗

Secondary Practice Locations 11

Location 1160 N Breiel BlvdMiddletown, OH 45042-3806 · Phone (513) 941-4999
Location 2100 Highview BlvdColumbus, OH 43207-6023 · Phone (513) 941-4999
Location 3680 Northland Blvd Ste 200Cincinnati, OH 45240-3248 · Phone (513) 941-4999
Location 41435 Cincinnati StDayton, OH 45417-4614 · Phone (513) 941-4999
Location 51421 Parker CtSpringfield, OH 45504-2855 · Phone (513) 941-4999
Location 66460 Harrison Ave Ste 200Cincinnati, OH 45247-7958 · Phone (513) 941-4999
Location 71907 11th StPortsmouth, OH 45662-4531 · Phone (513) 941-4999
Location 81718 Central PkwyCincinnati, OH 45214-2355 · Phone (513) 941-4999
Location 97075 Industrial Rd Ste AFlorence, KY 41042-3053 · Phone (513) 941-4999
Location 101130 Garbry RdPiqua, OH 45356-8217 · Phone (513) 941-4999
Location 11247 Cic BlvdWest Union, OH 45693-7512 · Phone (513) 941-4999

Other Identifiers 1

Medicaid0218756OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek R. Jordan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961988514
PECOS Enrollment IDI20260113003277
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derek Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunrise Treatment Center, LLC
0.1 mi
Rehabilitation, Substance Use Disorder
25 WHITNEY DR
Milford, OH 45150
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1790242675 (513) 941-4999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PAIGE BERRIER CDCA
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 941-4999
PATTI A ELLISON
Nurse Practitioner
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 941-4999
ASHLEY N. WEBER
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 941-4999
ERIN MERRILL
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 941-4999
STACEY MARIE POE
Nurse Practitioner (Family)
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 941-4999
CHERI G HIGGINS CDCA
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 713-7241
MRS. MARY JO STELZER
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 753-9964
BRENDA PAGE
Counselor (Addiction (Substance Use Disorder))
25 WHITNEY DR STE 122
MILFORD, OH 45150
Clermont County (513) 753-9964

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 Derek Jordan's NPI number?

The NPI number for Derek Jordan is 1669911285. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Derek Jordan located?

Derek Jordan practices at 25 Whitney Dr Ste 122, Milford, OH 45150. The listed phone number is (513) 941-4999.

What is Derek Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Derek Jordan enrolled in Medicare?

Yes. Derek Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Derek Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Jordan reassigns Medicare benefits to Sunrise Treatment Center, LLC (Milford, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Jordan accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Derek Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Jordan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.