MADISON JORDAN CDCA NPI 1750148672

NPI Information

  • NPI: 1750148672
  • Provider Name: MADISON JORDAN, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 100 ELMWOOD PARK DR
    WEST CARROLLTON, OH
    ZIP 45449
  • Phone: (937) 384-0580

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NPI Details

Madison Jordan, CDCA is an addiction (substance use disorder) counselor in West Carrollton, OH. Madison Jordan, CDCA NPI is 1750148672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 ELMWOOD PARK DR
WEST CARROLLTON, OH
ZIP 45449-402
Phone: (937) 384-0580
Fax: (937) 384-0581

The enumeration date for this NPI number is 3/6/2024 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.187595OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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