DEREK R. JORDAN – Professional Counselor, NPI 1669911285
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 MENTAL HEALTH COUNSELOR in OH
Provider Addresses for DEREK R. JORDAN
1718 Central Pkwy
Cincinnati, OH 452142355
Phone: (513) 941-4999
Type: Location
25 WHITNEY DRIVE
SUITE 122
MILFORD, OH 45150
Phone: (513) 753-9964
Type: Mailing
6460 HARRISON AVE STE 200
CINCINNATI, OH 452477958
Phone: (513) 941-4999
Fax: (513) 694-0168
Type: Mailing
25 WHITNEY DR STE 122
MILFORD, OH 451508400
Phone: (513) 941-4999
Fax: (513) 694-0168
Type: Location
6460 Harrison Ave Ste 200
Cincinnati, OH 452477958
Phone: (513) 941-4999
Type: Location
680 Northland Blvd Ste 200
Cincinnati, OH 452403248
Phone: (513) 941-4999
Type: Location
7075 Industrial Rd Ste A
Florence, KY 410423053
Phone: (513) 941-4999
Type: Location
1435 Cincinnati St
Dayton, OH 454174614
Phone: (513) 941-4999
Type: Location
1907 11th St
Portsmouth, OH 456624531
Phone: (513) 941-4999
Type: Location
100 Highview Blvd
Columbus, OH 432076023
Phone: (513) 941-4999
Type: Location
160 N Breiel Blvd
Middletown, OH 450423806
Phone: (513) 941-4999
Type: Location
1421 Parker Ct
Springfield, OH 455042855
Phone: (513) 941-4999
Type: Location
247 Cic Blvd
West Union, OH 456937512
Phone: (513) 941-4999
Type: Location
1130 Garbry Rd
Piqua, OH 453568217
Phone: (513) 941-4999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260113003277 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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