Jordan Tylor Hart, cdca
Counselor, Addiction (Substance Use Disorder) in Columbus, OH. Individual provider (NPI-1).
NPI number1669334751
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1669334751
- Entity type
- Individual (NPI-1)
- Name
- Jordan Tylor Hart
- Credential
- cdca
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2025
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 197246 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | 197246 | OH |
Practice location
4998 W Broad St Ste 104Columbus, OH 43228-1647
Phone 888-390-3779
Mailing address
4079 Clabber Rd Ste 105Columbus, OH 43207-4207
Phone 614-623-9862
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