Active NPI
Jordan Tylor Hart, CDCA
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1669334751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 197246
- Practice address
- 4998 W Broad St Ste 104
Columbus, OH 43228-1647 - Phone
- (888) 390-3779
- NPI assigned
- Nov 26, 2025
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 197246 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X | 197246 | OH |
Addresses
Primary practice location
4998 W Broad St Ste 104
Columbus, OH 43228-1647
Mailing address
4079 Clabber Rd Ste 105
Columbus, OH 43207-4207
Phone (614) 623-9862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197246 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1669334751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4079 CLABBER RD STE 105",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074207",
"telephone_number": "614-623-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4998 W BROAD ST STE 104",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281647",
"telephone_number": "888-390-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JORDAN",
"middle_name": "TYLOR",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-26",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "197246",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "197246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.