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MR. JOHN D. PETRY LPCC
NPI 1104108323
Counselor - Professional in Springfield, OH

Active since September 14, 2011
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504(937) 399-9500 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Mr. John D. Petry Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN D. PETRY LPCC (NPI 1104108323) is an individual professional provider in Springfield, Ohio, licensed in Ohio (E.1000175) and active in the NPI registry since September 2011. He maintains a secondary practice location in Moraine.

NPPES Registry Identity

NPI1104108323
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHN D. PETRYCredential: LPCC
Location Address474 N YELLOW SPRINGS STSpringfield, OH 45504-2463
Mailing Address2781 Hilton DrKettering, OH 45409-1752 · (937) 479-4828
Phone(937) 399-9500
Sole ProprietorYes
Enumeration DateSeptember 14, 2011
Last NPPES UpdateNovember 11, 20192 updates tracked since enumeration
✔ NPI 1104108323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.1000175
474 N YELLOW SPRINGS ST, Springfield, OH 45504
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Secondary Practice Location 1

Location 12621 Dryden Rd Ste 300Moraine, OH 45439-1600 · Phone (937) 479-4828 · Fax (937) 299-6165

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE LLOYD
Case Manager/Care Coordinator
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
BRIAN HAGENBUCH
Social Worker
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
CIERRA BOLDEN LSW
Social Worker (Clinical)
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
SARAH WADE RN
Registered Nurse
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
ANDREA SHEERIN
Case Manager/Care Coordinator
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
SHELBY HAVENS
Case Manager/Care Coordinator
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
MORGAN SNYDER
Case Manager/Care Coordinator
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500
LYNN CORESSEL
Case Manager/Care Coordinator
474 N YELLOW SPRINGS ST
SPRINGFIELD, OH 45504
Clark County (937) 399-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Petry's NPI number?

The NPI number for John Petry is 1104108323. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is John Petry located?

John Petry practices at 474 N Yellow Springs St, Springfield, OH 45504. The listed phone number is (937) 399-9500.

What is John Petry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for John Petry was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.