Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073672275 Individual Practitioner Male Practitioner

Gregory John Wightman , LPCC SUPV

Counselor • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Gregory Wightman, LPCC SUPV is a registered healthcare professional specializing in Counselor in Dayton, OH. Practice services are available at 2611 WAYNE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2611 Wayne Ave
Building #66

Dayton, OH 454201833

Telephone 9372580440
Fax 9372586235
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
111 Specialists

Practicing in Dayton, OH (4163 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E0000394 SUPV

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Elizabeth Bonanno , MD

Psychiatry & Neurology - Psychiatry

NPI 1144389313

Doctor of Medicine (M.D.)

Frances Ingram , LISW

Social Worker - Clinical

NPI 1144389321

Licensed Independent Social Worker

Dr. Nikou Yazdanbakhsh , MD

Clinical Neuropsychologist

NPI 1184795809

Doctor of Medicine (M.D.)

Dr. Thomas South , PhD

Psychiatric Hospital

NPI 1699863779

Doctor of Philosophy (Ph.D.)

Peter Iversen

Psychiatry & Neurology - Psychiatry

NPI 1770660540
NPI 1851571889

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2611 WAYNE AVE, BUILDING #66, DAYTON, OH 454201833 (Tel: 9372580440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 432153414 (Tel: 6144666583)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY WIGHTMAN, L.P.C.C. SUPV.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #E0000394 SUPV in OH)

🟢
Initial NPI Registration & Enumeration December 06, 2006

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: 1073672275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

30 E Broad St, 11th Floor

Columbus, OH 432153414

Phone: 6144666583

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.