Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669911285 Individual Practitioner Male Practitioner

Derek R. Jordan

Counselor - Professional • Milford, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Jordan is a certified Counselor - Professional practicing in Milford, OH. With approximately 10 years of clinical experience since completing medical education in 2016, Derek Jordan delivers high-quality medical care to the local community at 25 WHITNEY DR STE 122.

Derek Jordan is affiliated with Sunrise Treatment Center Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

25 Whitney Dr Ste 122

Milford, OH 451508400

Telephone 5139414999
Fax 5136940168
Associated Practice Facility / Clinic
🏢 Sunrise Treatment Center, Llc Facility NPI 1992043053

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Milford, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -10.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Milford, OH (6923 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jordan (10 Years) 10 Yrs
Milford Specialty Average (20.5 Years) 20.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2303715-SUPV

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LICDC-CS.161401

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OH C.1600018

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LCDCII.121091

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LCDCIII.121091

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0218756 (OH)

Hospital & Practice Group Affiliations

Sunrise Treatment Center Llc

25 Whitney Dr, Milford, OH 451508400

Phone: 5139414999

Secondary Practice Locations

160 N Breiel Blvd

Middletown, OH 450423806

Phone: 5139414999

100 Highview Blvd

Columbus, OH 432076023

Phone: 5139414999

680 Northland Blvd Ste 200

Cincinnati, OH 452403248

Phone: 5139414999

1435 Cincinnati St

Dayton, OH 454174614

Phone: 5139414999

1421 Parker Ct

Springfield, OH 455042855

Phone: 5139414999

6460 Harrison Ave Ste 200

Cincinnati, OH 452477958

Phone: 5139414999

1907 11th St

Portsmouth, OH 456624531

Phone: 5139414999

1718 Central Pkwy

Cincinnati, OH 452142355

Phone: 5139414999

7075 Industrial Rd Ste A

Florence, KY 410423053

Phone: 5139414999

1130 Garbry Rd

Piqua, OH 453568217

Phone: 5139414999

247 Cic Blvd

West Union, OH 456937512

Phone: 5139414999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Taja Jones

Counselor - Addiction (Substance Use Disorder)

NPI 1003571571
Nicole Ward

Counselor - Addiction (Substance Use Disorder)

NPI 1013433697
Diane Patterson

Licensed Practical Nurse

NPI 1013450063
Angela Caudill

Counselor - Addiction (Substance Use Disorder)

NPI 1013502632
Jessika Puckett , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1013535673

Chemical Dependency Counselor Assistant

Sharon Stevens

Registered Nurse

NPI 1013862010

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Counselor (License #LICDC-CS.161401 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Counselor (License #LCDCIII.121091 in OH)

📍
Updated Practice Location April 20, 2023

Registered at 25 WHITNEY DR STE 122, MILFORD, OH 451508400 (Tel: 5139414999)

📍
Updated Business Mailing Address April 20, 2023

Registered at 6460 HARRISON AVE STE 200, CINCINNATI, OH 452477958 (Tel: 5139414999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Counselor (License #C.1600018 in OH)

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 25 WHITNEY DRIVE, SUITE 122, MILFORD, OH 45150 (Tel: 5137539964)

📍
Updated Business Mailing Address November 16, 2017

Registered at 25 WHITNEY DRIVE, SUITE 122, MILFORD, OH 45150 (Tel: 5137539964)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as DEREK JORDAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Counselor (License #C.1600018 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Counselor (License #LCDCIII.121091 in OH)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 1020 JEFFERSON ST, GREENFIELD, OH 451238319 (Tel: 9379811911)

📍
Updated Business Mailing Address February 15, 2017

Registered at 111 W WATER ST, CHILLICOTHE, OH 456012452

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as DEREK JORDAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Counselor (License #LCDCIII.121091 in OH)

🟢
Initial NPI Registration & Enumeration February 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669911285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2017
Last Update: June 23, 2026
Sole Proprietor: Yes

Mailing Address

6460 Harrison Ave Ste 200

Cincinnati, OH 452477958

Phone: 5139414999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.