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Active NPI 1871009449 Individual Practitioner Male Practitioner

Jeremy D Vanderpool , COUNSELOR TRAINEE

Counselor • Springboro, OH

Professional Overview & Biography Verified Profile Summary

Jeremy Vanderpool, COUNSELOR TRAINEE is a registered healthcare professional specializing in Counselor in Springboro, OH. Practice services are available at 50 GREENWOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50 Greenwood Ln

Springboro, OH 450663033

Telephone 9377461154
Fax 9377468523

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springboro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Springboro, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% 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 C.1901668-TRNE

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.151540

Definition to come...

Practice Associates & Co-Workers

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

38 Associated Practitioners
Madison Bauer

Counselor - Addiction (Substance Use Disorder)

NPI 1013577857
Jane Johnson , LSW

Social Worker - Clinical

NPI 1043236839

Licensed Social Worker

Charlise Joaen , LSW

Social Worker - Clinical

NPI 1043757586

Licensed Social Worker

Lauren Bernard

Counselor - Mental Health

NPI 1043859390
Gabrielle Holmes-Scott , LISW

Social Worker - Clinical

NPI 1063666246

Licensed Independent Social Worker

Julia Zody , LSW

Social Worker - Clinical

NPI 1073761201

Licensed Social Worker

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated June 07, 2019

Recorded as JEREMY VANDERPOOL, COUNSELOR TRAINEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2019

Counselor (License #CDCA.151540 in OH)

NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2017

Registered at 50 GREENWOOD LN, SPRINGBORO, OH 450663033 (Tel: 9377461154)

📍
Updated Business Mailing Address December 19, 2017

Registered at 204 COOK RD STE 400, LEBANON, OH 450369600 (Tel: 5132287800)

👤
Provider Name / Credentials Updated December 19, 2017

Recorded as JEREMY VANDERPOOL, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Counselor (License #CDCA-151540 in OH)

🟢
Initial NPI Registration & Enumeration December 19, 2017

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: 1871009449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2017
Last Update: June 07, 2019
Sole Proprietor: Yes

Mailing Address

204 Cook Rd Ste 400

Lebanon, OH 450369600

Phone: 5132287800

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.